Sheryll Chua

Travel and Business Expense Report Name: Purpose of trip: Check all that apply and provide detailed descriptions below: ID: Phone: Project Travel - Specify sponsor organization, meeting purpose and attendees' names Email: Conference/Workshop - Specify name of conference/workshop and dates attended Other - Describe and specify purpose Names of other travelers: None Destination City: Foreign Currency Rate Start Date: End Date: Primary method of travel: please choose Personal Vehicle - trips more than 100 miles away require justification relative to other forms of transportation. Rental Car Rail Airplane Other Expense Distribution Enter totals from page 2. Project Category Transportation Daily Living Exp. Other Expenses Meals Justification for expenses:: Check all that apply and provide detailed descriptions below: Car Rental (other than standard) Sales Tax Paid Increased Meal Expense Other Total Exp $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Expense Total: Indicate Airline, Auto Rental, Hotel, Advance, Others Advance Airfare Hotel Payment Type (Cash, Card, Invoice/Check) $ 0.00 Amount Traveler's Signature: Advance Total: Expense Total Less Advance Amount: Amount Due Payee: Amount Due Company: $ 0.00 Payee's Name: E-mail: Approver's Name: E-mail: Phone: Date: Payee's Signature: Phone: Approver's Signature: Date: Travel and Business Expense Report Part 1: Transportation Dates Milage Reimbursement Airfare Auto Rental Gas Taxi/Shuttle Parking/Tolls Rail/Bus Miles Rate Car Total Total $ 0.00 Totals $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Part 2 - Daily Living Expenses Meals: Per Diem Actual Dates Lodging Phone Fax Internet Tips Per Diem Breakast Lunch Dinner Snack Totals $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 Total Part 3: Hospitality Dates Names of persons in attendance and affiliation Location Business Purpose Meals Others Total $ 0.00 Totals $ 0.00 Part 4: Other Expenses Dates Totals Type Notes: Amount $ 0.00