Travel Expense Detail Sheet Template
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1TRAVEL EXPENSE DETAIL SHEET
0.535
mileage rate
Please Note: Copies of receipts are required for reimbursement
Agency
Name
Reason for Travel
Month
Year
Meals & Lodging
Date
Location
Breakfast
Lunch
Dinner
Other
Lodging
Totals
Totals:
Private Car Miles
Rate Per
Private
Mile
Car Miles
Total
Date
Description
0.535
0.535
0.535
0.535
Total
Miscellaneous Expenses
Air Fare, Parking, Subway Fare, Taxi Fare, etc.
Date
Description
Totals
Total
Grand Total Due
Signature
Title
Date
I certify that all reimbursements claimed reflect actual duty
required expenses or allowances entitled; that no part
thereof has been heretofore claimed or will be claimed from
any other souce.
Approved by
Title
Date
I certify that the avove claimed expenses are authorized
duty required expenses. Funds for payment of this claim are
avalable in the approved budget for the period covered and
have been allotted for expenditure.
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