Employee Cash Tip Report - Excel - Excel

							                                                 Halifax County
                                Travel Reconciliation from County Cash Advance
                                            Authorization Request

Employee Name                                                   Department
Title                                                           Expense Line
Travel Dates                from:                                   to:
Purpose of Travel

                                        Important: Attach all receipts and/or invoices applicable to this report
Expense Items:
                            Sunday      Monday        Tuesday   Wednesday      Thursday        Friday       Saturday
                 Date(s):                                                                                                  Totals


Breakfast
Lunch
Dinner & tip (optional)
Other
          Totals                                                                                                       $

Lodging & Transportation:
Lodging
Taxi / Shuttle
Other
Tips
Parking
Air Transportation
          Totals                                                                                                       $

Other Expenses:
Registration Fees
Conference Expense
Other
          Totals                                                                                                       $


Round-trip mileage from:                       to:                           Mileage Total              x mileage rate $




                             Approval                                        Total Expense of Trip                     $
                                                                             Less Expenses Prepaid by County           $
                                                                             Balance                                   $
Employee                                             Date
                                                                             Less Cash Advance                         $
                                                                             Balance due County or Employee            $
                                                                                             (circle one)
Department Head                                      Date


   revised 12/04/08                                                                                                    FIN TR 03