MONTHLY EXPENSE REPORT
ID# <your ID>
Name: <your name> Dept: <your department> Date: January 7, 2011
Date Mileage Destination Purpose
Total Miles @ $0.38: Mileage Expense
OTHER TRAVEL (Attach receipts; if air, you must attach ticket stub)
Date Travel Destination Purpose
Date OVERNIGHT ACCOMODATIONS (Attach Itemized Bills)
PER DIEM (2-3 meals) days @ $39.00 All per diem is for overnight or longer trips only.
If you are away only one day, please report
PER DIEM (1 meal) days @ $20.00 actual meal costs + tips (not to exceed per
diem) and include receipts. Also, per diem is for
PER DIEM when entertained days @ $13.00 yourself only - report actual for others.
For record Purposes only: List expenses relating to this Report which
were charged to a general ledger account Date OTHER REPORTABLE EXPENSES (Attach Receipted Bills)
PLEASE NOTE: Prior to submitting this report, you need to obtain the approval *TOTAL REIMBURSABLE EXPENSES $0.00
signature of your appropriate Department Head/Academic Dean/Vice President.
The Travel Authorization is not sufficient. Also, we recommend that you
always keep a copy for your files. Please fill in CHARGE #s & AMOUNTS
REMARKS/BILLING INSTRUCTIONS (IF ANY) Fund Org. Acct. Prog Activity
Employee Signature Date
Approved: ____________________________________________ TOTAL REPORTABLE EXPENSE $0.00
Department Head/Academic Dean/Vice President Treasurer
* This amount may be reduced if there is an outstanding balance due to the university.
Printed: 1/7/2011 4:14 AM Blank of 67fbdbd2-a75a-4838-941c-ad68ed21ffb7.xls