Spreadsheet: 095fc080-b127-4f2c-a607-0bd247d7c481
Sheet: Sheet1

STATE OF CALIFORNIA | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14
TRAVEL EXPENSE CLAIM |  |  |  |  | See Privacy Statement * |  |  |  |  | Page |  | of |  | Pages
CSUM STD 262 (REV. 01/01/10) |  |  |  |  | with the Instructions
CLAIMANTS NAME |  |  |  |  |  | EMPLOYEE ID # (Do Not Enter SSN) |  |  |  | DIVISION OR BUREAU
 |  |  |  |  |  |  |  |  |  | CALIFORNIA MARITIME ACADEMY
POSITION |  |  |  |  |  | DEPARTMENT |  |  |  | HEADQUARTERS ADDRESS
 |  |  |  |  |  | Associated Students |  |  |  | 200 MARITIME ACADEMY DRIVE
RESIDENCE ADDRESS |  |  |  |  |  | DELIVERY OPTIONS |  |  |  | CITY |  |  | STATE | ZIP CODE
 |  |  |  |  |  | SELECT ONE:                                                                                                     MAIL CHECK |  |  |  | VALLEJO |  |  | CA | 94590
CITY / STATE / ZIP CODE |  |  |  |  |  | PICK UP |  |  |  | PHONE NUMBER |  |  | INDEX NUMBER
 |  |  |  |  |  | Phone Extension: |  |  |  | [PHONE]
(1) MONTH / YEAR |  | (3)  LOCATION                                         WHERE EXPENSES WERE INCURRED | (4)             LODGING | (5) MEALS |  |  | (6) INCIDENTALS | (7) TRANSPORTATION |  |  |  |  | (8)           BUSINESS EXPENSE | (9)                                          TOTAL EXPENSES FOR DAY
 |  |  |  | BREAKFAST | LUNCH | DINNER |  | (A)                COST OF TRANS. | (B)                  TYPE USED | (C) CARFARE TOLLS PARKING | (D) PRIVATE CAR USE
(2) DATE | TIME |  |  | Up to        $10.00 | Up to    $15.00 | Up to $25.00 | $5.00 day after 24 hours of travel |  |  |  | [NAME] | AMOUNT
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  | 0
(10) SUBTOTAL
LESS AMOUNT PAID BY UNIVERSITY: (Input as Negative) |  |  |  |  |  |  |  |  |  |  | ADVANCE
CLAIM TOTAL (AMOUNT DUE EMPLOYEE) |  |  |  |  |  |  |  |  |  |  | $ | 0
(11) PURPOSE OF TRIP, REMARKS, AND DETAILS (ATTACH ORIGINAL RECEIPTS/VOUCHERS-NO COPIES WHEN REQUIRED) |  |  |  |  |  |  |  |  |  |  | (12) NORMAL WORK HOURS
 |  |  |  |  |  |  |  |  |  |  | (13) PRIVATE VEHICLE LICENSE
 |  |  |  |  |  |  |  |  |  |  | (14) MILEAGE RATE CLAIMED
 |  |  |  |  |  |  |  |  |  |  | 0.50 | (If different see instructions)
Amount |  | Account | Fund | [NAME] | Class |  |  |  | Foundation Travel
 |  | 606921 | 48461 | 72810 (Club) |  |  | Travel |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  |  |  |  |  |  |  | 0
0 |  | Total Claim (Amount Due Employee) |  |  |  |  |  |  | Total Foundation Amount |  |  |  |  | 0
(15) I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with CSU Policy and Procedures, HR 2008-10. If a privately owned vehicle was used, and if mileage rates exceed the minimum rate, I certify that the cost of operating the vehicle was equal to or greater than the rate claimed, and that I have met the requirements as prescribed by SAM Sections 0750, 0751, 0753, and 0754 pertaining to vehicle safety and seat belt usage. (STD 261-completed and onfile).
CLAIMANT'S SIGNATURE |  |  |  | DATE |  | DEPARTMENT CHAIR (IF APPLICABLE) |  |  |  |  |  |  |  | DATE
 |  |  |  |  |  | Associated Students Executive Signature Required
(16) SIGNATURE OF OFFICER APPROVING TRAVEL, PAYMENT & SPECIAL EXPENSE AUTHORIZATION (COLUMN 8)
SIGNATURE                                                                                                                         TITLE                                                                                                                             DATE