ࡱ> Z]YQ bjbj֊֊ ;@eeq    8CLt -+z(++++06J *******$-]0**++*[[[:++*[*[[:. v + **0-+ .3131 31 V0"[VVV**HVVV-+31VVVVVVVVV : HARTNELL COLLEGE TRAVEL EXPENSE CLAIM FORM Authorized Expenses for: TA-Name: Employee #: Todays Date: First Day of Travel: Last Day of Travel: EVENT NAME: TRANSPORTATION:  FORMCHECKBOX  Own Vehicle Mileage: x .725 (2026 IRS Rate)  FORMCHECKBOX  Enterprise Car Rental  FORMCHECKBOX  Airline: CLAIMED / ACTUAL EXPENSE EVENT REGISTRATION FEE:  LODGING TOTAL INCLUDING FEES/TAXES:   DATEBREAKFASTLUNCHDINNERDAILY TOTAL       If you require more space, please affix an additional itemized page and carry total to this page. Itemized, original receipts required TOTAL MEALS LIST ADDITIONAL EXPENSES & TIPS (Tolls, Parking, Taxi, Uber/Lyft, Shuttle) Please attach itemized receipts.   By signing this form: I certify these expenses were actual and necessary to this travel. Alcoholic beverages were not included in the expenses claimed herein. *Claimant Signature: _________________________________________________TOTAL EXPENSES DUE TO TRAVELER BUDGET ACCOUNT CODE(S): 100% Fund (2) Area (3) Location (2) Tops (6) Object (5) %/ $ 100% Fund (2) Area (3) Location (2) Tops (6) Object (5) %/ $ _________________________________ _________________________________ _________________________________  *SUPERVISOR *DEAN / MANAGER *VP / PRESIDENT *As supervisor, by signing on this line I approve reimbursement for actual expenses exceeding previously authorized estimates rev 01-2026      *+,DEHIJNOPQRTY[\]^_kl;ڬxqj`VLE ha(5CJhcz]hcz]5CJhLvh9R5CJhw+hw+5CJ hVh)5CJ hV v5CJ h>5CJ h"Q5CJ h,\5CJhLvh`#CJhIEh$5B*CJph hE'5CJ hAh5CJht hQB*phh2,56B*CJaJphhLvh5 h2,5 hLvhhLvh5CJhLvh+:5CJ hLvh5CJ ,EIJPQ^_noypccyy s$Ifgd9R $Ifgd,H $Ifgda(jkd$$Ifl0t"8"n     `94 lapytoJS $Ifgda($If lmno  ~~thaRhK h&a5CJjh5CJU h5CJjh5CJUh{h|5CJh{h"i5CJhLvhCJhLvhYCJhIEh5B*CJph h 455CJ h"i5CJhLvh$CJhLvh|5CJ hIE5CJ hoJS5CJ h|5CJhcz]h=5CJhIEh$5B*CJph h`#5CJoYPP $Ifgd}dKkd$$Ifl\t"8L$ pn0`94 laytoJS $Ifgd|W l  wi$x$Ifa$gdrT$x$&d IfP a$gdrT $Ifgd l$IfakdR$$Ifl8N90`94 laytoJS   $ % ' ( ) + - 0 1 ; V _ a ʯvgXvIXv=6,h{h"i5CJ h|5CJh|5B*CJphhoJS56B*CJaJphh256B*CJaJphh&56B*CJaJphh;56B*CJaJphh=56B*CJaJph4hY~hIE56B*CJaJfHphq 4hY~h56B*CJaJfHphq 4hY~h=56B*CJaJfHphq 4hY~h;56B*CJaJfHphq a l s x y         񬥛zsibi^h"i hC"5CJh0b-h"i5CJ hV5CJhLvh"iCJ h/5CJhLvh"i5CJ hC"5CJhLvh"i5CJ h&5CJh{h"i5CJ hoJS5CJjh|5CJUj@h|5CJUjh|5CJUh{h|5CJ h|5CJ h"i5CJ$    nbbV $$Ifa$gdl $$Ifa$gdVkd($$Ifl0+8,\ 0`94 lapytoJS ! 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