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Travel Expense Report - Pomona College in Claremont_ California

VIEWS: 16 PAGES: 1

									                                                                                           TRAVEL EXPENSE REPORT
                                                                        Documentation/Request for Reimbursement


Name of Traveler                                                                                  Department                              Traveler's Ext.


Campus Address
Pomona College

STREET ADDRESS
                                                                                                  DISBURSEMENT INSTRUCTIONS             (CHECK APPROPRIATE BOX)

CITY                                          State         ZIP                                   NOTE: If none is chosen, check will be sent to payee.


                              TRIP SUMMARY
                                                                                                       HOLD FOR PICK-UP                       CALL
                                                                            TRANSPORTATION
DATE                      FROM                         TO                        MODE                                                                                      FOR PICK-UP
                                                                        Air
                                                                                                       DIRECT DEPOSIT

                                                                                                       MAIL TO:



PURPOSE OF TRAVEL
                  Presented research at:


Month/Year                                                              Meals(8)                                                Transportation(10)
                      Location(s)                                                                                                                        Private Car Use     Total
                                                                                                                   Cost of       Type     Toll roads 50 cents/mile         Expenses
     Day       Where expenses were incurred       Lodging   Breakfast       Lunch        Dinner   Incidentals(9)   Trans.        Used     Parking Miles         Amount      For Day




Page _____      SUBTOTALS                     $         -   $     -     $      -     $       -     $       -       $        -             $   -                  $    -    $            -
Excess Beyond Maximum Allowed by Approving Department

                                                                         TRAVEL EXPENSES                            $                                             $                 -
                                                                                   REGISTRATION                                                                   $                 -
                                                                      TOTAL EXPENSES                                                                              $             -

                                                                                                                   Less Prepaid Expenses             $


If requesting mileage please attach documentation of miles driven.                                                 Refund to College                 $
Please be sure all receipts show method of payment or zero balance.
                                                                                                  Amount due to Traveler                             $                              -


Signature of Traveler                         DATE




Department Administrative CoordinatorDATE




Signature from Associate Deans Office         DATE                                                                 Business Office Approval                                DATE
                                                                CHECK RECEIVED BY                                                                                             DATE PAID

								
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