EASTERN
MICHIGAN UNIVERSITY
CashAdvanceReconciliationForm
Phone
TimesandDatesofDepartureandArrival
Fund Account Program Location Amount
Remarks:
Date
Date
CashorPersonal
CreditCard
Amount
PaymentCard
Amount
TypeofExpense
lastupdated10/17/1
4
Activity
EID#
Destination
Orgn.
EmployeeName
BusinessPurpose
Email HomeAddress
TotalExpenses
LessPaymentCardExpenses
LessPersonalExpenses
Subtotal
LessTravelAdvance
Iherebycertifythattheseexpenseswereincurredbymeandreimbursableunderpublishedtravelprocedures
ofEasternMichiganUniversity.
SignatureofRecipien
t
Approval(s)‐Allapproversmustadheretothesignatorypolicy.
AmounttobeReimbursedor
(ReturnedtoUniversity)
ApprovalSignature
0.00
0.00
0.00
0.00
0.00