STATE OF FLORIDA		TRAVELER:          Bob Smith				AGENCY:	BGC
VOUCHER FOR REIMBURSEMENT		SOCIAL SECURITY NO.  123-45-6789				HEADQUARTERS:		Ft. Lauderdale
OF TRAVEL EXPENSES		TRAVELER:				RESIDENCE (CITY):		Oakland Park
(Print page 1 and put it back in printer to print page 2 on backside)						TAR #
			Hour of	Meals for	Per Diem
	Travel Performed		Departure	Class	or Actual	Class	Map	Vicinity	Other Expenses
	From Point of Origin	Purpose or Reason	And Hour of	A & B	Lodging	C	Mileage	Mileage
Date	To Destination	(Name of Conference)	Return	Travel	Expenses	Meals	Claimed	Claimed	Amount	Type
10/15/06	Ft.Lauderdale to Las Vegas	Gradaute Student Academic Conference	1:00 AM	$           -	$     50.00	$             -	0	0	$      100.00	Conf. Fee
10/17/06	Las Vegas to Ft. lauderdale		5:00 AM	$           -	$     50.00	$             -	0	0	$      200.00	Airline Fee
									$        20.00	Taxi Fee