[Company Name]

[Company Address]
Company Logo
Tel: [ Tel. No] / Fax : [ FAX No.]
[Website Address]
TRIP EXPENSE VOUCHER
Name: Cost Center/WBSE Commitment Item Amount
SAP Number
Deliver Check to:
Purpose of Travel:
0.00
TRAVEL OFFICE USE ONLY
Vendor Number: ______________________
Travel Officer: Date: Yes No
Itinerary Transportation and Lodging Subsistence Miscellaneous

Cash
Leave Return Personal Provider Name Per Diem
Date List Locations You Explanation Cash You Paid
Time Time Auto Miles & HO or TO Claimed
Paid

Total Miles 0
Rate per Mile $0.000
Totals 0.00 0.00 0.00 0.00
(A) (B) (C) (D)
Total Reimbursement (A+B+C+D) 0.00

I certify these expenses are in accordance with established university travel policies and were incurred in the performance of official duties.

Traveler's Signature Date Authorizing Signature Date