Travel Expense Report



Name: Jane Doe
Company: Polar King
Departure Date: April 21, 2025, April 23, 2025[262]
What was this trip for?


Testing the form



Per Diem M&IE


Zip Code: 90210 | (M&IE Value: $86)
First Day: April 21, 2025 | Last Day: April 23, 2025

Total Days: 3
Breakfasts Provided ($22): 0
Lunch Provided ($23): 2
Dinner Provided ($36): 0

Location Subtotal: $169.00



Zip Code: 46825 | (M&IE Value: $68)
First Day: April 23, 2025 | Last Day: April 25, 2025

Total Days: 3

Location Subtotal: $170.00



M&IE Total: $339.00

Travel Expenses


COMPANY CREDIT CARD

Reimbursable

Total Company Expenses:

Total Reimbursable Travel Expenses: $0.00

Lodging / Meals


COMPANY CREDIT CARD
Reimbursable

Total Company Lodging / Meals Expenses:

Per Diem M&IE Total: $339.00

Total Reimbursable Lodging:

Miscellaneous Expenses


COMPANY CREDIT CARD
Reimbursable
Total Miscellaneous Company Card Expenses: $0.00
Total Miscellaneous Reimbursable Expenses: $0.00

Expense Report Totals


Reimbursement:
Per Diem M&IE:
$339.00
Travel/Lodging/OTHER:
$0.00

Company Card Total:
$0.00

Expense Report Combined Total:
$339.00

Office Notes: