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Rture Date & Time: Return Date& Time: Travel expense charged to: Fund Func. Obj. Sub-Obj. Org. Prog. AMT. Fund Func. Obj. Sub-Obj. Org. Prog. AMT. A AMOUNT RECEIVED (ADVANCE) B AMOUNT EXPENDED (ACTUAL) MEALS: LODGING: MILEAGE: PLANE FARE: BUS FARE: REGISTRATION FEES: OTHER EXPENSES: ( (Please Itemize) ) A. B. C. D. TOTAL C (A-B) DIFFERENCE RECEIPT(S) REQUIRED YES * *IF TOTAL IN COLUMN C IS POSITIVE, THE AMOUNT NEEDS TO BE REIMBURSED TO THE DISTRICT.

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