Xavier Business & Travel Expense Report Form
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1XAVIER BUSINESS & TRAVEL EXPENSE REPORT
NAME
ML
Purpose of Trip____________________________________
HOME ADDRESS
EXT.
____________________________________
Period
From___________________ To________________
MAIL CHECK
BANNER ID# OR SS#:
Direct Deposit
HOLD CHECK
SECTION A: Expenses Incurred
Mode of Travel:
____ Airplane
____ Personal Auto
____ Rental Auto
___ Other (Specify)________________
Time of Departure:
Time of Return:
Personal Auto
Other
DAILY
Travel Destination
Miles
Allowance
Trans-
OTHER EXPENSES
TOTAL
.565
Date
From
To
Driven
@___/mile portation
Lodging
Breakfast
Lunch
Dinner
Brief Explanation
Amount
EXPENSE
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
SUBTOTAL
SECTION B: Business Meals and Entertainment
Date
Dining Establishment
Nature of Business Conducted
Names of All Present
Business Affiliation of Guests
Amount
$0.00
TOTAL
$0.00
SECTION C: Distribution of Expenses
1. TOTAL EXPENSE
I certify this expense report is a true and accurate accounting of expenses incurred on
Fund/Org
Account
Amount
authorized University or grant approved business and are fair charges against Xavier
**
2. Less ADVANCES ISSUED
-
University. Amounts not approved or considered excessive by the University are
TA#___________
authorized to be deducted.
$0.00
3. REIMBURSEMENT
OR
REQUESTED
Signature________________________________ Date _____________
Total Expense
4. (BALANCE DUE XAVIER)
Approval:
$0.00
Should EQUAL Subtotal Line #1
Budget Administrator_____________________________________Date___________
Audited By:
Reset Form
Immediate Supervisor/Dean or Department Head_________________________________________Date ____________
Original Signatures Required
ORIGINAL RECEIPTS MUST ACCOMPANY THIS REPORT FOR ALL ITEMS OVER $10.00
** (please enter as a negative (-) number)
Return to Accounts Payable, ML 4531
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Parent category: Business