IMaP Expense Report - Leila Advance 236.476

Requester Leila Tome- Assistant Admnistrative 4/11/2020
SER 63.06 Amount of Travel Advance 236,476.00 MZN
Section 1 - Lodging (if applicable)

Location Outside Maputo
Hotel #1 Day Month Year Under USAID Max?

Check in date
Check out date
Total paid for lodging #1 MZN Yes
Hotel #2 (only if applicable) Day Month Year

Check in date
Check out date
Hotel #3 (only if applicable) Day Month Year

Check in date
Check out date
Total Lodging from Section 1 0.00 MZN
Section 2 - Other Reimbursable Costs

Receipt # Vendor & Description Amount (MZN)
1 Perdiem Katia Gizela-Medica SDSMAS Rapale durante 10 dias 2000 diario 20,000.00
Perdiem Ali Alfredo- Tecnico de Estatistica SDSMAS Rapale durante 10 dias
15,000.00
2 1500 diario
3 Perdiem Dortea Damiao- SESP-SDSMAS Rapale durante 10 dias 1500 diario 15,000.00
4 Perdiem Erika Tiago- TMG-SDSMAS Rapale durante 10 dias 1500 diario 15,000.00
5 Perdiem Samuel Carlos-Medico SDSMAS Rapale durante 10 dias 2000 diario 20,000.00
6 Perdiem Helder Wazir- Tecnico Superior- INS durante 10 dias 1,190diario 11,900.00
7 Perdiem Sofia Narina- Tecnico Superior- INS durante 10 dias 1,190diario 11,900.00
Perdiem Idalecia Cossa -Especialista de Saude- INS durante 10 dias
14,000.00
8 1,400diario
Perdiem Aimo Francisco- Tecnico de Laboratorio- SDSMAS-Malema durante
6,300.00
9 6 dias 1,050 diario
Perdiem Maria Xavier- Tecnica de laboratorio- HCN-durante 8 dias 1,050
8,400.00
10 diario
Perdiem Gino Goncalveis-TMG-SDSMAS-Nampula durante 5 dias 1,500
7,500.00
11 diario
Perdiem Hermenegildo Pinto-NED-SDSMAS-Nampula durante 5 dias 1,500
7,500.00
12 diario
Perdiem Amino Amisse-Tecnico de Saude -SDSMAS-Nampula durante 5dias
7,500.00
13 1500 diario
Perdiem Farida Amisse- Tec.Superior- SDSMAS-Nampula durante 5 dias
8,500.00
14 1,700 diario
Additional reimbursable expenses listed on other page -
Total Other Reimbursable Costs from Section 2 168,500.00 MZN
Total M&IE from Section 3 - MZN
Other adjustments (attach memo with detailed explanation) MZN
Total to Pay to Employee (Refund to Project) (67,976.00) MZN
Certification:
I certify that all of the information that I have provided on this expense report and related backup
documentation is truthful, complete and accurate.
Printed on 04/11/2020 at 12:35:18

Leila Tome- Assistant Admnistrative
Approval:
I confirm that I reviewed this expense report and related backup documentation and
I approve for payment.
Hoang Kim-Vu - Chief of Party
Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 410,747.00

Section 2 Continued - Other Reimbursable Expenses
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Total Additional Reimbursable Costs listed on this page - MZN
Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 410,747.00

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Amount of Travel Advance 2484745

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Location Outside Maputo M&IE Breakdown (USD):
Day Month Year Breakfast 17.00

First day claiming M&IE Select Day Select Month Year Lunch 29.00
Last day claiming M&IE Select Day Select Month Year Dinner 45.00
Incidentals 23.00
Total Days of M&IE Total 114.00
Applicable Travel Day M&IE Due
Date Meals Provided? M&IE Rate Adjustment in USD Applicable M&IE Rates (USD):
1 No Meals Provided 75% Select One -->
2 Lunch Provided No Meals Provided 114.00
3 Lunch Provided Breakfast Provided 97.00
4 Lunch Provided Lunch Provided 85.00
5 Lunch Provided Dinner Provided 69.00
6 No Meals Provided Breakfast and Lunch 68.00
7 Lunch Provided Lunch and Dinner 40.00
8 Lunch Provided Breakfast and Dinner 52.00
9 Lunch Provided Breakfast, Lunch, and Dinner 23.00
10 Lunch Provided Not Claiming M&IE -
11 Lunch Provided
12 Lunch Provided
13 No Meals Provided
14 No Meals Provided
15 Select One -->
16 Select One -->
17 Select One -->
18 Select One -->
19 Select One -->
20 Select One -->
21 Select One -->
22 Select One -->
23 Select One -->
24 Select One -->
25 Select One -->
26 Select One -->
27 Select One -->
28 Select One -->
29 Select One -->
30 Select One -->
31 Select One -->
Other adjustments (attach memo with detailed explanation):
Total M&IE (USD) -
Total M&IE (MZN) -

Policy on Reductions in M&IE Reimbursement
The following circumstances will cause a reduction in the M&IE reimbursement:
Meals furnished by the the project, USAID, USAID implementer, or any U.S. Government agency
Meals provided by a conference/workshop/seminar/training/etc.
Meals in which the traveler pays for a meal for one or more persons and submits the bill in the expense report
The M&IE reimbursement will NOT be reduced in the following circumstances:
If a meal is provided by a common carrier (i.e., airline)
If a meal is provided by the hotel (i.e., complimentary breakfast)
If a meal is provided by a private party who would not otherwise bill it to a US federal contract


First day claiming M&IE Select Day Select Month Year Lunch 29.00
Last day claiming M&IE Select Day Select Month Year Dinner 45.00
Incidentals 23.00
2 Lunch Provided No Meals Provided 114.00
3 Lunch Provided Breakfast Provided 97.00
4 Lunch Provided Lunch Provided 85.00
5 Lunch Provided Dinner Provided 69.00
7 Select One --> Lunch and Dinner 40.00
8 Select One --> Breakfast and Dinner 52.00
9 Select One --> Breakfast, Lunch, and Dinner 23.00
10 Select One --> Not Claiming M&IE -
11 Select One -->
12 Select One -->
13 Select One -->
14 Select One -->
15 Select One -->
16 Select One -->
17 Select One -->
18 Select One -->
19 Select One -->
20 Select One -->
21 Select One -->
22 Select One -->
23 Select One -->
24 Select One -->
25 Select One -->
26 Select One -->
27 Select One -->
28 Select One -->
29 Select One -->
30 Select One -->
31 Select One -->
Total M&IE (USD) -
Total M&IE (MZN) -



First day claiming M&IE Year Lunch 29.00
Last day claiming M&IE Year Dinner 45.00
Incidentals 23.00
2 No Meals Provided No Meals Provided 114.00
3 No Meals Provided Breakfast Provided 97.00
4 No Meals Provided Lunch Provided 85.00
5 No Meals Provided Dinner Provided 69.00
7 Select One --> Lunch and Dinner 40.00
8 Select One --> Breakfast and Dinner 52.00
9 Select One --> Breakfast, Lunch, and Dinner 23.00
10 Select One --> Not Claiming M&IE -
11 Select One -->
12 Select One -->
13 Select One -->
14 Select One -->
15 Select One -->
16 Select One -->
17 Select One -->
18 Select One -->
19 Select One -->
20 Select One -->
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22 Select One -->
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24 Select One -->
25 Select One -->
26 Select One -->
27 Select One -->
28 Select One -->
29 Select One -->
30 Select One -->
31 Select One -->
Total M&IE (USD) -
Total M&IE (MZN) -


Select DaySelect Month Year Select One -->
2018
1 1 2019 In Maputo
2 2 2020 Outside Maputo
3 3 2021
4 4 2022
5 5 2023
6 6
7 7
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Current M&IE Rates Current Maximum Loding Rates
In Maputo Outside Maputo In Maputo 220.00

Breakfast 17.00 17.00 Outside Maputo 189.00
Lunch 27.00 29.00
Dinner 44.00 45.00
Incidentals 22.00 23.00
Total 110.00 114.00
Select One --> In Maputo Outside Maputo

No Meals Provided 110.00 114.00
Breakfast Provided 93.00 97.00
Lunch Provided 83.00 85.00
Dinner Provided 66.00 69.00
Breakfast and Lunch 66.00 68.00
Lunch and Dinner 39.00 40.00
Breakfast and Dinner 49.00 52.00
Breakfast, Lunch, and Dinner 22.00 23.00
Not Claiming M&IE 0.00 0.00
Please select from drop down -->
Jafete Guedes - Director of Finance/Operations

Gertrudes Machatine - Chief of Party
Guilhermina Fernandes - SME Technical Advisor
Sarmento Armando - Technical Director
Salimone Nhancume - HMIS Specialist
Nelia Ombe - Grants and Subk Manager
Ana Xerinda - Project Accountant
Teofilo Luis - Nampula Provincial Manager
Elias Cossa - SBCC Advisor
Abdul Ismael - Nampula SME Specialist
Leila Tome- Assistant Admnistrative
Please select from drop down -->
Hoang Kim-Vu - Chief of Party

Debora Freitas Lopez - Home Office Director
Home Office Representative
100000
20000
20000
10000
4500

IMaP Expense Report - Leila Advance 236.476

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IMaP Expense Report - Leila Advance 236.476

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Requester Leila Tome- Assistant Admnistrative 4/11/2020

SER 63.06 Amount of Travel Advance 236,476.00 MZN

Section 1 - Lodging (if applicable)

Hotel #1 Day Month Year Under USAID Max?

Hotel #2 (only if applicable) Day Month Year

Hotel #3 (only if applicable) Day Month Year

Total Lodging from Section 1 0.00 MZN

Section 2 - Other Reimbursable Costs

Total Other Reimbursable Costs from Section 2 168,500.00 MZN

Total M&IE from Section 3 - MZN

Other adjustments (attach memo with detailed explanation) MZN

Total to Pay to Employee (Refund to Project) (67,976.00) MZN

Printed on 04/11/2020 at 12:35:18

Hoang Kim-Vu - Chief of Party

Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 410,747.00

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 410,747.00

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18

Amount of Travel Advance 2484745

Total Additional Reimbursable Costs listed on this page - MZN

Requester's Initials ________ Printed on 04/11/2020 at 12:35:18