Travel & Conf Reimbursement Claim with Calculations
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TRAVEL & CONFERENCE REIMBURSEMENT CLAIM
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(to be completed after you attend)
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Name:Areli Simpson
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Site/Dept. Address:
One Panther Way, Vista, CA 92084
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School Site/Dept:
Vista High School
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Name of Conference:
CSU Counselor Conference
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Conference Location:
Riverside
Date(s):
Aug. 12, 2018
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SAVE ALL ORIGINAL RECEIPTS (they must be attached, itemized and show your payment). If payment does not show on your receipt, also attach a copy of your credit card or bank statement to show proof of payment. Reference AR 3350 or Burst 8 if there are questions
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*MEALS REIMBURSED WITHOUT AN OVERNIGHT STAY are taxable and will be reported as income on your W-2.
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*MEAL REIMBURSEMENTS MAY NOT EXCEED $32 PER DAY and are ACTUAL costs, not a flat rate.
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*MEAL REIMBURSEMENT RECEIPTS MUST BE FOR CLAIMANT ONLY. Attendees should request separate receipts
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*TIPS ARE NOT REIMBURSABLE.
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*ALCOHOLIC BEVERAGES - NO PUBLIC FUNDS MAY BE USED TO PURCHASE ALCOHOLIC BEVERAGES.
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-If alcohol is on the receipt, deduct that portion.
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*MILEAGE REIMBURSEMENTS MUST INCLUDE A GOOGLE or MAPQUEST PRINTOUT showing the route taken and total miles from the site you work at to the event - then double the miles for round trips.
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MEAL DATE(S):
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SUNMONTUEWEDTHUFRISATTOTAL MEALS
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Daily Receipts (Daily Max $32)$0.00
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Registration $:
$85.00
Lodging:
0.00
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Mileage: x .545$0.00
Parking/Taxi:
0.00
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Airfare $:$0.00
Other $:
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Total Claim for Reimbursement:
$85.00
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Claimant Signature ________________________________________________
Date:
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Administrator Signature ____________________________________________
Date:
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FOR OFFICE USE ONLY:
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Registration
PO#: ____________
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Account #:
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