Expense_Non_Travel_pcversion.xls

	A	B	C	D	E	G
1	THE UNIVERSITY OF NEBRASKA				University Dept. Name	SAP Document No
2	EMPLOYEE
3	NON-TRAVEL EXPENSE VOUCHER				Claimant Telephone No.
4	401 Canfield Administration, Lincoln, NE 68588-0439
5					Claimant E-Mail
6	P	Full Name of Claimant (Employee)
7	A				Personnel Number
8	Y	Building & Room Number
9	E
10	E	Campus or Station	Campus Zip		ATTACH RECEIPTS FOR ALL EXPENSES FOR MISCELLANEOUS NON TRAVEL ITEMS OVER $5.00
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12		Department Contact:		Telephone No. or E-Mail
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15	Date	List Miscellaneous Items		Business Purpose		$ Amount
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29					Total	0.00
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31	I claim reimbursement from the State of Nebraska for the above expenses incurred by me in the line of duty and declare that the
32	above statement of them is a true account of such expenses for which payment has not been made heretofore by the State of Nebraska.
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34	Print or Type Name of Claimant Date			Print or Type Name of Supervisor or Approving Offical Date
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36	Signature of Claimant*			Signature of Supervisor or Approving Official*
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38	*Must be an original signature. No copies, faxes or stamps are permitted.
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40	NOTE AREA		Cost Object		G/L Account	Amount
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48	Updated: February 2011
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