C/O 0 $ 0.

00
MASSACHUSETTS INSTITUTE OF TECHNOLOGY C/O $
CONTROLLER'S ACCOUNTING OFFICE C/O $
TRAVEL EXPENSE VOUCHER C/O $
ACCTG.VOUCHER#
STUDENT SERVICES - CODE 00
NAME EMPLOYEE No STUDENT Yes
ADDRESS W20-549
DATE TRIP STARTED TIME DATE TRIP ENDED TIME
PURPOSE OF TRIP
:

TRANSPORTATION

DATE FROM TO MODE AMOUNT

$

PRIVATELY OWNED AUTOMOBILE MILES @ #### PER MILE 0.00

TOLL CHARGES

TAXI, BUS, ETC

DATE FROM TO MODE

SUBSISTENCE

HOTEL NUMBER OF NIGHTS 0.00

NUMBER OF MEALS 0.00
PER DIEM ALLOWANCE FOR FOREIGN TRAVEL ONLY OR PRE APPROVED DOMESTIC TRAVEL:

(IN LIEU OF HOTEL AND MEAL CHARGES) DAYS @ PER DAY

OTHER EXPENSES (ITEMIZE)

PLEASE ATTACH TICKET STUBS AND HOTEL BILLS TRAVELER'S EXPENSE $ $ 0.00
$
LESS ADVANCES (Cash/Registrations/Deposits/Furn.Tickets)
NET DUE: M.I.T. $
NET DUE: TRAVELER $

SIGNATURE OF TRAVELER DATE

NET DUE: 3rd party (hotel etc)

AUTHORIZED SIGNER ON THE ROLES DATA BASE SYSTEM

DATE
Attn: Kerri Mills (x3-3680, W20-549)

PRINT NAME OF AUTHORIZED SIGNER DATE TOTAL COST OF TRIP $ 0.00

rev 1/06 Mail Original to the Travel Office at NE49-4037
SAO Student Activities Main Account Expense Voucher SAO
① Group Information ④ Account Information
Group Name 0 Account # 0
Date month day year G/L # 420080 (Travel)

② Payee Information (payable to) ⑤ Authorized Financial Signatory

First Name 0 Name 0
Last Name 0 Cannot be the same as payee.

Indicate Preferred Delivery Method

E-mail Signature

Mail to THIS SECTION FOR OFFICE USE ONLY:

Delivery
Method circle: Picked Up Mailed Completed

Date mm/dd/yyyy

③ Expense Information
Payment method will be by check. Name
Amount US$ 0.00
Description
0 Signature

Student Activities Office, W20-549, (617) 253-6777, funds@mit.edu

Date Received: Date Approved:

Cut on dotted line.