FOR ACCOUNTS PAYABLE USE ONLY
EXPENSE REPORT
COLLEGE OF THE HOLY CROSS
Voucher No. _________________________________
WORCESTER, MA 01610-2395
Vendor ID#: _________________________________
NAME: ____________________________________________________________
INVOICE NUMBER: ___________________________
REASON FOR TRAVEL: _______________________________________________
INVOICE DATE: ______________________________
CAMPUS ADDRESS: _________________________________________________
DESCRIPTION: ______________________________
HANDLING ______________
HC#: _____________________________________________________________
AP use only
DATE
CITY, STATE
AUTO MILEAGE
A. EXPENSES TO BE REIMBURSED
Total
.
¢ Per Mile
0.58
0 . 0 0
0 . 0 0
0 . 0 0
0 . 0 0
0 . 0 0
0 . 0 0
0 . 0 0
0 . 0 0
Auto-Rental
0.00
Ground Transport
0.00
Parking/Tolls
0.00
Lodging
0.00
Meals/Per Diem
0.00
Air Fare
0.00
Conf. Fee
0.00
Other
0.00
Total: (A)
0.00
B. BUSINESS EXPENSE WITH OTHERS:
DATE
BUSINESS PURPOSE
WHERE HELD
INDIVIDUALS
AMOUNT
Total: (B)
0.00
Total Employee Expense: (A&B)
0.00
Total expenses allocated in Sec. C below
C. CHARTFIELD ALLOCATION:
$ 0.00
Amount should equal Total of Sec. A&B
Account
Fund
Dept
Program
SubClass
Proj/Grant
Amount
(4)
(4)
(6)
(4)
(5)
(8)
0.00
0.00
0.00
0.00
(AP use only)
Less Amount of Advance
Balance Due College
$ 0.00
Balance Due Traveler
$ 0.00
I HEREBY CERTIFY THAT I HAVE INCURRED THE EXPENSES LISTED ABOVE
Traveler Signature
Date
Approval Signature
Date
Please attach all supporting documentation and receipts