ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Southern Regional Education Board
2
592 10th Street, N.W. • Atlanta, GA 30318-5776
3
Phone: (404) 875-9211 • Fax: (404) 872-1477
4
5
Travel Reimbursement - Non-SREB Staff
6
ATTN:________________________
7
8
9
Name:Date:
10
11
Address to which check should be sent:
12
13
14
Date(s) of Trip:
 Purpose:
15
16
City & State, or Site Name and Location:
17
18
Transportation: Specify points of departure and arrival, and means of transportation.
19
20
Departure City:
Arrival City:
21
22
Means of Transportation:
To Be Prepaid by
23
Reimbursed:SREB:
24
Actual Miles:
@ 51 Cents Per Mile
25
Airfare, Including Booking Fee
(Attach Coupon / Itinerary)
26
27
Lodging:
28
29
Automobile Rental:
30
31
Other Travel Costs: Indicate expenditures for each day in categories below.
32
DateMeals (including waiters' tips)Taxis & ParkingOther
33
=
34
=
35
=
36
=
37
=
38
=
39
=
40
=
41
=
42
43
Negotiated Consultant Fee:
44
45
Explanation of other items:
46
47
48
NOTE: All expenditures must be supported
Total
49
by detailed original receipts and
50
attached to this form.
Total Reimbursement
#VALUE!
51
52
Personal Signature:
53
54
For SREB Use Only
55
56
Approved for Payment:
57
58
Supervisor
59
Project to be Charged:
60
Director
61
62
For Office Use Only
63
64
FUNDGRANT YRGLDEPTACTIVITYSTATESSCHOOLSTUDENTCONF&WKSHPDR
65
66
67
68
69
70
Document No:
Session ID:
71
72
73
Last Update: 9/8/14
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100