HOPE COLLEGE ADVANCE RECONCILIATION REPORT

Employee:_________________________________________ Amount Advanced___________
 
Fund(5 digits)/Acct (4 digits) to be charged ___ ___ ___ ___ ___ - ___ ___ ___ ___

Purpose of advance:_________________________________________________________
____________________________________________________________________________
Lodging (Attach itemzied eceipts)  
          Date                        Place Amount
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
  Lodging Total $_____________
Meals (Attach itemized receipts if for more than $5.00 per meal)  
          Date                        Place Amount
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
  Meals Total $ ___________
Private Auto @ $0.45 per mile ________ miles Miles Total $ ____________
Employee Paid Travel (air, rail, bus) attach itemized receipts Total Paid Travel $ ____________
Other Employee Paid Expenses (Explain and attach itemized receipts)  
          Date                        Place Amount
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
  Other Total $ _________   
 
Grand Total $ __________
        
Instructions
Total Advance: _____________
Total Expense: _____________
Difference: _____________

Total Returned: ____________

Reimbursement : _____________
  1. Complete all applicable items on form. Be sure to include the 9 digit Department Fund/Account number.
  2. Attach itemized receipts and any unused funds.
  3. Sign this expense report and forward this to your Dean, the Provost, or your Supervisor for their signature.
  4. The Dean, Provost or Supervisor will forward this completed form to Business Services. Attn: Jianna DeVette
 
   
Employee Signature:_________________________________ Date:______________
Dean/Provost/Supervisor Signature______________________ Date:______________