Travel Expense Statement
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1TRAVEL EXPENSE STATEMENT
T NO.
Department No.
Account Charge
Date
Name of Claimant
Title or Position
Colleague ID or SS# of Claimant
Address of person being reimbursed
Name of person, persons, or group making the trip
Meeting, conference, or purpose for travel
and return
to
Origin and destination of travel: From
Dates of this trip
Persons or group included in expenses listed below-
Claimant's
Payments by
Expenses
College
Mileage
per mile
miles @
Plane fare
(attach receipt to this report)
Taxi, limousine or rental car
Hotel (attach receipt to this report)
Meals (indicate number)
(receipts required if not using per diem)
Registration fee (attach receipt)
Other travel expenses. Explain:
Total expenses
Less cash advance
Balance due claimant (or) balance due Amarillo College
Comments
I certify that the above expenses were incurred in the performance of official college business.
Signed
Claimant
Division Chair
Grant Manager
AC Foundation Director
Approved Supvr. or Dept. Chair.
Additional Approval
Additional Approval
Vice President/Dean/Director
Business Office
Clear Data
Rev. 3/O9
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Parent category: Financial