SLIPPERY ROCK UNIVERSITY                                                                                   TRAVEL EXPENSE VOUCHER                                                                                                    Revised July 1, 2022
          TRAVELER’S NAME & PAYEE'S NAME (if different from traveler)                                                                      DATES TRAVELING                                                    FUNDS RESERVATION NUMBER
                            DELIVER CHECK TO: (OFFICE OR HOME)                                                             OFFICE EXT.                                                                                       FUND CENTER
                                   ITINERARY                                                          TRANSPORTATION                                                  Lodging                            Meals                         MISC EXPENSES
                                    TIME                                                                              TOTAL              MILES            NAME OF 
          DATE                                               LOCATION                      Method                 CASH PAID             DRIVEN              HOTEL             CASH PAID              CASH PAID               EXPLANATION                CASH PAID
                       LEAVE            RETURN
                                                                                  Airplane
                                                                                  Enterprise Rental
                                                                                  Personal Vehicle 
                                                                                  with Enterprise 
                                                                                  Rate
                                                                                  Personal Vehicle  
                                                                                  $.625 per mile
                                                                                  Other
     TRAVEL AND HOTEL JUSTIFICATION BELOW:
                                                                                                                   $             -     $           -                         $             -     $                -                                   $              -   
                                                                                  Meals Provided                                     Subsistence Rate                                                             Accounts Payable Use
                                                                                               BREAKFAST                             LUNCH                                  DINNER                                             Less Advance
                                                                                               0                                  0                                      0                           NET DUE TO:                     Employee                     $0.00
                         TRANSPORTATION (COMPARISON CALCULATOR USED AND MAP QUESTS FROM HOME-DESTINATION-HOME AND SRU-DESTINATION-SRU  TO SELECT 
      ✘                THE MOST ECONOMIC MEANS OF TRAVEL)                                                                                                                                                         Approved Total If Less
                                                                                                                                                                                                             TRAVELER'S SIGNATURE & DATE
                    I certify that the statements and expenses claimed are correct, reasonable and were incurred in the performance of 
       ✘
     Commonwealth duties and that I have not and will not accept reimbursement of any of these expenses from any other 
     source.  I further certify that if my personal automobile was used for Common-wealth business during the period of travel 
     claimed, insurance effect to comply with the Pennsylvania Motor Vehicle Financial and Responsibility Law (Act 1984-11). ** 
     UP TO ALLOWABLE MAXIMUM (THIS IS NOT AN AUTOMATIC ALLOWANCE; DO NOT CLAIM MORE THAN YOU SPENT)
                            PROVOST SIGNATURE & DATE                                                         DEAN OR VICE PRESIDENT SIGNATURE & DATE                                                        SUPERVISOR SIGNATURE & DATE