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Currency [0]/Explanatory TextG5Explanatory Text %0 : Followed Hyperlink 1Good;Good  a%2 Heading 1G Heading 1 DTj%Dr3 Heading 2G Heading 2 DTj%?4 Heading 3G Heading 3 DTj%235 Heading 49 Heading 4 DTj%6( Hyperlink 7InputuInput ̙ ??v% 8 Linked CellK Linked Cell }% 9NeutralANeutral  W%"Normal :Noteb Note   ;OutputwOutput  ???%????????? ???<$Percent =Title1Title DTj% >TotalMTotal %DrDr? Warning Text? Warning Text %XTableStyleMedium2PivotStyleLight16` nPage 1 Travel & Expenses'Page 2 Instruc. & Other ExpenseRental Car Supplement  ;@5 INSTRUCTIONSGENERAL INFORMATIONPRIVATE AUTOMOBILE MILEAGE% TravelFill inDateFromTo Mileage XTotalRate Current =& TRAVEL EXPENSE REPORTSUNMONTUEWEDTHURFRISATTOTALTRANSPORTATION COSTS1. Airplane Fare2. Railroad Fare 3. Public Ground Transportation b. University-Owned Vehicle c. Rental Vehicle$ d. Other (Tolls, Parking, etc.)RELATED TRAVEL EXPENSETotal this page TOTAL EXPENSENAME: BUSINESS PURPOSE:Traveler Signature% BRADLEY UNIVERSITYDirectBill Cash AdvanceACCOUNT(S) TO BE CHARGED0________________________________________________n (Detailed information is included in the Travel Policies and Procedures at http://www.bradley.edu/controller)}Dept: Obtain required signatures and submit this completed report with original itemized receipts to the Controller's Office.EXPENSESPrepaidExpenses REIMBURSEMENTForwarded from prior page DEPARTMENT:4. a. Private Auto MileageMPlease see instructions on next page. Use additional sheets if necessary. (if required)0 OTHER EXPENSES AND DOCUMENTATION SUBSTANTIATIONLTotal all days (enter here and on Page 1, Line 4.a., Total Expenses Column)."Use additional sheets if necessary7(Complete Private Automobile Section on Following Page) If an advance was received, attach copy of originating requisition and, if applicable, refund due to the University.  Date1 & 2. Receipt must show that the ticket was paid and the method of payment (Reservation confirmation only is not sufficient).73. Includes taxi, bus, subway, shuttle, etc.n4.a. Complete private automobile section below and enter total in total expenses column for this line.^4.b. Submit original gas receipts for business travel using University-owned vehicles.a4.c. Submit original rental invoice with proof of payment and any related gas receipts. >4.d. Submit original receipts for tolls, parking, etc.5. Requests for hotel reimbursements must include the hotel portfolio, showing a zero balance and method of payment.  to demonstrate that the individual paid for the registration (copy of check or credit card receipt or statement).wUse this section to detail other expenses and anything else that may require an explanation or further documentation. fAccording to I.R.S. Regulations -- you must provide the following if you are requesting reimbursement:vDate, Amount, Name of Place, Location, Business Purpose and Attendees. If expenses are requested for non-University VForm must be received in Controller's Office within 60 days from last date of travel. University Paid Expenses For foreign travel reimbursement, list amounts on form in U.S. dollars and attach conversion rate documentation.Date Amount Name of Place Business Purpose Location Attendees VISABU **% Supervisor/Dept. Chair/Director Dean or Associate ProvostE Dean/Provost/Vice President Signature Date)Balance due from or (to) the University**TOTAL ALLOWED,(**Amounts should balance with total below) AMOUNTPER DIEMDATES OF TRAVEL: DestinationBUSINESS GUESTwTRAVELER CERTIFICATION - I certify that the above amount is correct and just; that the detailed items are in compliancebusiness. If such expenditures are charged against a grant or contract, I also certify that only allowable expenditures, as determinedby the sponsoring agency and in accordance with the project budget, have been incurred and are being requested for reimbursement.tReimbursement requests will need to be submitted prior to the University's year-end close (or grant closing dates). ~APPROVER CERTIFICATION - By signing this form, I affirm to the completeness and mathematical accuracy of the form and that allvnecessary documentation is provided. I also approve the business purpose and funding account(s) for the expenditures. Breakfast Per Diem Lunch Per Diem5. Hotel/Motel Room & Tax6. Phone & Communications7. Meeting Registration Fees8. Otheri Room service and meal charges on the hotel portfolio must be reimbursed to the University.}6. Business phone calls and Internet service should be entered on the form separately from the hotel room charges.7. Include conference registration form and schedule. If a check or personal credit card is used for payment, proof must be provided ^ Please detail in Other Expenses and Documentation Substantiation section below.Partial Per Diem for Travel DayFull Day Per Diem (or) Dinner Per Diem3PER DIEM (Refer to per diem policy and procedures) u Print the per diem rate page from the GSA website and attach to per diem request.yPartial Per Diem Day of departure and day of return are reimbursed at a reduced rate of 75% of the per diem rate. Full Day Per Diem Obtain rate from the federal government General Services Administration website located at http://www.gsa.govBreakfast, Lunch, and Dinner Per Diem should be detailed when travel includes a meal with a business guest, prepaid meal at a conference,% complimentary breakfast, etc. where a deduction of the per diem amount for that particular meal must occur.Date Time of Departure Time of Return Business Purpose Location Attendees Revised 4/13E(Complete Other Expense & Substantiation Section on Following Page)employee, provide the occupation, name and title relative to the person or persons, sufficient to establish relationship to you. uTraveler: Use this form as a daily record. Original receipts must be submitted for all expenses other than per diem. Effective 04/13}with all University policies and procedures and IRS regulations; and that the expenses were occasioned by official University8. Other expenses which may be reimbursable include: business office expenses (fax, copies, etc.), currency conversion fees#&yIf an evening meal per diem is being requested for One-Day Travel, please identify the travel departure and return times.3B Destination to:Destination from:Appriximate Mileage2Rental Car Supplemental Analysis (Use as Guidance) Mileage Ratecents per mileRental Car Price (Total)Approx Driving CostApproximate Gas Cost Rental Car Total%Driving Cost Over (Under) Rental Cost2Note: Enterprise is preferred Rental Car Provider& Enterprise Account # XZ62391E \FF4GrG<H JKK,NNR 5Ss T!W_mY0]n5`s`5cc~W PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V~&}"!ᇺ_Ν =r!sh ۴T**~ r׮+JOp'M:kүݭjkh [+wc5(_Zw:Mנ_^F֯A)v[_BJ Pl5 cFZԩnΕ(,cuc;P@$=9K !'> BLra)l)oڣh#CZ&beIĐD7 o߼9{og/^=eVe80_~n&_xw_?zоIwOG,:D?DĒ@!vnu6Y7=B>ı0]hq qޜOM#N\{7Ql9=M f-G8S Ǝ=%IJk 9l,k 4I @ʅH~-tx F]n }L-3CS">i}$CތM\[Ht)#,Ky ? v{"%t#LdM!GQ1w}k׺ O!QL×07c]YfGVvi`> X6I?!aW`=@v hT_"BOwxf(_nڼ UΙJpb/N aZG!jxqÕԴr.:M#߉Hq7ձ:R޸郳ܳ$9릫j³u7=M/3//٨i:3hȲ(<ь:g#$.Hxω {!J`4T@UK^vVx:lN:E5L+@2_/uR]ӻLf)낀 c3ĖDug`4 }kaQs/\e^Gn~" 8hGOμNO3b/" tMq]{222&22222&22 @!@"@#@$@%@ &@',@ (@0)@*@+@,@-@.@/@0@12@3@4 P\ UUUUUUU   !P] !UUUUUUU   "Ph "UUUUUUU   "#PUUUUUUU   $U $q$ "%VWWWWWWW   &X &YZZZZZZ '[. 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