FISCAL FORM 72024 - 1 Conference T Request Number LOS ANGELES COMMUNITY COLLEGE DISTRICT Travel Expense MEETING OR CONFERENCE HELD AT FROM (DATE) TO (DATE) OTHER CITIES VISITED (AS DIRECTED BY BOARD OF TRUSTEES) AUTHORIZATION: DATE ALLOTMENT NUMBER TO BE COLLEGE OR DIVISION CONFERENCE REQUEST NUMBER CHARGED T 000- - -586100 DEPARTURE HOUR DEPARTURE DATE RETURN HOUR RETURN DATE A.M. A.M. P.M. P.M. DATE Sun Mon Tues Wed Thur Fri Sat Sun Mon Tues TOTAL Breakfast Lunch Dinner Room Subtotal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Conference Fees Telephone & Telegraph Taxi & Bus Airport Tax Parking Other Subtotal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Notes: Air or Railroad Fare: or Automobile Rule Miles @$.555/mile 7503.10) 0.00 AMOUNT OF CLAIM 0.00 Minus Advance or Charges to CalCard $ Total Amount Due to Employee 0.00 I DECLARE UNDER PENALTY OF PERJURY THAT THE APPROVED FOR PAYMENT BY: FOREGOING IS TRUE AND CORRECT (SIGNED) DATE (SIGNED) DATE Print Name Name Title Title AFTER APPROVAL SEND ORIGINAL AND DUPLICATE TO: DISTRICT OFFICE ACCOUNTS PAYABLE . LOS
FISCAL FORM 72024 - 1 Conference T Request Number LOS ANGELES COMMUNITY COLLEGE DISTRICT Travel Expense MEETING OR CONFERENCE HELD AT FROM (DATE) TO (DATE) OTHER CITIES VISITED (AS DIRECTED BY BOARD OF TRUSTEES) AUTHORIZATION: CONFERENCE REQUEST NUMBER DATE ALLOTMENT NUMBER TO BE CHARGED COLLEGE OR DIVISION T 000- - -586100 DEPARTURE HOUR A.M. DEPARTURE DATE RETURN HOUR A.M. RETURN DATE P.M. P.M. DATE Sun Mon Tues Wed Thur Fri Sat Sun Mon Tues Breakfast Lunch Dinner Room Subtotal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Conference Fees Telephone & Telegraph Taxi & Bus Airport Tax Parking Other Subtotal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Notes: Air or Railroad Fare: or Automobile Rule 7503.10) Miles @$.555/mile 0.00 TOTAL AMOUNT OF CLAIM Minus Advance or Charges to CalCard Total Amount Due to Employee $ 0.00 0.00 I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT APPROVED FOR PAYMENT BY: (SIGNED) DATE (SIGNED) DATE Print Name Name Title Title AFTER APPROVAL SEND ORIGINAL AND DUPLICATE TO: DISTRICT OFFICE ACCOUNTS PAYABLE . LOS
TravelExpenseClaim.docx