Send to current Treasurer, along with original dated receipts, BIOMEDICAL AND LIFE SCIENCES DIVISION				within 5 working days of travel or event.
Travel Voucher							Please print.

Name  									Postal Code  									
Address  								Country  									
City, State/Province  							Purpose  									

Date	Destination	Air/Bus/
Rail Fare	Car Mileage
& Tolls*	Local 
Transportation,
Parking	Lodging	Meals	Printing,
Postage,
Telephone	Tips*	Other: Explain* 
and list cost	

										

										

										
										
Item Totals									

If you received an advance, use side 2.				Grand Total: _______________________

*For car mileage, report miles traveled and cost, computed from current U.S. IRS rate. Costs of meals, taxi fares, etc., should include tips, if any. Gratuities to skycaps, bellboys, etc., if any, should be reported under “tips.” Use back of form for comments, explanations, etc. 

I hereby certify that the above is a true and accurate statement of expenses incurred.

Signature:								Office use only: Paid by check 		 on 				

				Please print.
BIOMEDICAL AND LIFE SCIENCES DIVISION					
Travel Voucher, Side 2								

Statement of Advance	
	Date	Amount	
Balance on hand from previous voucher			
Plus advance received			
Subtotal			
Less this expense voucher			
Balance on hand this date