Statement of Financial Affairs

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					Travel Expense Statement


Name                                 Department                   Telephone   Account Number


Reason for Expense:



Amounts Paid by University in Advance:
Cash Advance                                                                  Total Adv:


Hotel Costs
_____ Days at $ _______ Day = (including applicable taxes and fees)
Other Hotel Charges (excluding meal charges)
                                                                              Total Hotel:


Registration Fees


Meals
(Total From Attached Page)                                                    Total Meals:


Transportation:
Mileage- ______ miles at _______ cents per mile =
Airfare
Rental Car
Parking
Taxi/Shuttle
                                                                              Total Trans:


Other Expenses:
1)
2)
3)
4)
5)
                                                                              Total Other:


Total Expense:
Less: Total Amounts Paid by University
Due Employee:
Due University:


Signed: _______________________________                     Authorized by: ______________________________
Travel Expense Statement

Meals
Date(mm/dd)     Breakfast   Lunch   Dinner   Snack




                                             Total Meals:

				
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