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Samples Of Completed Travel Reimbursement Vouchers

Listed below are samples of completed Travel Reimbursement vouchers. These samples are provided to hopefully assist in the preparation of a Travel Expense Reimbursement Vouchers.  To view the actual sample form, click on the Sample 1 or 2.

Special Notes:

  • Entire form must be completed. (Always complete in the info requested in the highlighted areas in the sample.)
  • All vouchers must be typed or completed in Ink.
  • All signatures must be the full name, not initials, dated and be original.
  • Each day's expenses must be shown on a separate line.

Sample 1 -   Employee travels to attend a Conference held in Dallas, TX.
  • Travel Authorization number - 141189
  • Personal Vehicle mileage to and from Charlottesville Airport, 120 miles round trip - $67.20
  • Airline tickets - $410.00
  • Travel day meal per diem - $55.00
  • Shuttle to and from Dallas Airport and Hotel - $25.00 each way
  • Registration Fee - $250.00
  • Lodging @ $123.00 room rate (plus taxes & fees) per night - $139.95
  • Full day meal per diems - $71.00
  • Internet fees for official JMU business (justification required) - $11.95
  • Meal per diem less dinner (included in Registration Fee)  - $71.00 less $36.00 = $35.00
  • Account Codes:
    • 121700 $11.95        Internet Fees
    • 122400 $250.00      Registration Fee
    • 122700 $1,374.00   All other Expenditures


Sample 2 -   Employee travels to Nashville, TN on field work.
  • Travel Authorization number - 141190
  • Personal Vehicle Mileage from JMU to Dulles Airport, 240 miles round trip - $59.04
  • Airfare paid with Department SPCC - $0.00
  • Travel day meal per diem - $51.00
  • Lodging @ $122.00 room rate (plus taxes & fees) per night - $140.30
  • Travel day meal per diem - $51.00
  • Rental vehicle - $83.00
  • Gasoline for rental vehicle - $23.00
  • Parking at airport - $10.00
  • Account Codes:
    • 128200 $59.04     Mileage
    • 128800 $102.00   Meal per diem
    • 128500 $150.30   Lodging & parking
    • 128300 $106.00   Rental vehicle & pas