Travel Expenses Voucher Template
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1
2GRAND FORKS COUNTY
TRAVEL EXPENSES VOUCHER
MONTH
DEPARTMENT:
POSITION:
NAME
THIS TRAVEL VOUCHER COVERS FROM:
ADDRESS:
MONTH:
TO:
CITY:
STATE:
ZIP:
MONTH:
TAX &
COMM'L
OTHER
MEALS
HOURS OF
LODGING
VEHICLE
AIR
COMM'L
MEALS IN
OUT OF
DEPARTURE/ARRIVAL
IN
OUT
DAY
POINTS COVERED BY TRAVEL
MILES
TRANS
TRANS
MISC EXP
STATE
STATE
(SHOW AM OR PM)
STATE
STATE
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MEALS IN STATE
MEALS OUT OF STATE
I hereby certify that the within Itemized statement representing a claim for
payment of per diem, mileage or travel expenses or combination there of,
LODGING IN STATE
truthfully and accurately states the days of service and the mileage
traveled, and the purpose thereof.
LODGING OUT OF STATE
MISCELLANEOUS EXPENSE
OTHER TRANSPORTATION IN STATE
SIGNATURE:
DATE
DEPARTMENT APPROVAL
OTHER TRANSPORTATION OUT OF STATE
SIGNATURE:
DATE
AIR TRANSPORTATION IN STATE
ACCOUNT NUMBER
CHARGE TO
AIR TRANSPORTATION OUT OF STATE
VEHICLE MILES IN STATE $.56/mile
VEHICLE MILES OUT OF STATE
PER DIEM X
HOURS X
TOTAL EXPENSES
Meals are taxable if you did not stay overnight and
$_____________
will be paid through payroll
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