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Warning Text %XTableStyleMedium9PivotStyleLight16`lCPage 1kPage 2  ;3 AJFrom:To: Rental CarDateHourm.Min.Meals Page 2 of 2TaxiAmount2Pay to Employee: (Name, Address, City, State, Zip)Service Dates:,Distribution Of Expenses For In-State Travel0Distribution Of Expenses For Out-Of-State Travel'Public Transportation (attach receipts))Actual Meals & Lodging (Overnight Travel)'Actual Meals Only (No Overnight Travel)AirfareSI certify that the expenses shown above are true, correct, and not previously paid.Claimant Signature:Date:Supervisor Signature: Destination:Travel Purpose:˾ Local Account Number(s): Prepared By:Travel Clerk Received:For Business Office Use Only:?Personal Car Mileage (reimbursable up to average coach airfare)P˾ Travel Voucher For Reimbursement To A State EmployeeTravel Advance:Less Travel AdvanceIn-State TravelActual ExpensesTotal ExpensesLeave / Arrive HeadquartersPartial Per Diem*G*No overnight travel, **Show room rate only, DO NOT include tax expenseOut-Of-State Travel+Record Of Transportation & Duties PerformedMileage Lodging**Employee's Phone No.:Accounting CodeBLDPlease specify Page1 of 2Per Diem ExpensesPartial Per Diem ExpensesZPer Diem Meals & Lodging (Overnight Travel) Please see Travel Management Website For Rates%Employee's Title or Position / Dept.:Meal Rate Allowed $_____Lodging Rate Allowed** $____Banner Identification No.:[Other Incidental Expenses (Itemized) ie.: hotel tax, toll charges, telephone calls, parkingRegistration Fees Extension:Budgetary Unit Head Signature:Foreign Travel Encumbrance:Student Athletic TravelStudent Travel Upward Bound Bus. 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