Page Number

(37)

Month

Day

Time of

Personal

Tolls,

Lodging

Subsistence - lodging required

Total

Time of Departure

Returned

Vehicle

Parking

Mileage

B

From-To:

(21)

(22)

L

(20)

Purpose:

(23)

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

B

From-To:

L

-

Purpose:

D

Totals for this page:

(24)

(25)

(26)

(27)

Total Mileage:

(28)

x     *per mile

=    Total Mileage expense:

(29)

*Please visit the Accounts Payable website for current mileage rates

Total for this Continuation Page:

(27)+(29)

20) Total meals, lodging, parking, & toll charges

21) Initial departure point (NKU or home)

22) Final destination point

23) Business purpose of travel (Organization names must be spelled out completely)

24) Total parking & toll charges for page

25) Total lodging for page

26) Total meals for page

27) Total parking, tolls, lodging and meals expense for page

28) Total miles for page

29) Total mileage expense (Please visit the Accounts Payable website for current mileage rates)

37) TV number, employee name