Spreadsheet: 15be687d-3ce7-468d-847a-fc753f9aa599
Sheet: Out-of-country

State of South Dakota |  |  |  |  |  |  | Out of Country Travel Payment [NAME]
Payee |  |  |  |  |  |  | South Dakota School of Mines & Technology
 |  |  |  |  |  |  | Department Name |  |  |  |  |  |  |  |  |  | Employee
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Non-Employee
 |  |  |  |  |  |  | Account Index(es) |  |  |  |  |  |  |  |  |  | Student
Banner Vendor ID |  |  |  | Auto License# |  |  |  | Home Station |  | Payee Type |  |  | POV 1 | 0.37
 |  |  |  |  |  |  |  |  |  |  |  |  | Standard | 0.2
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Leave | Return | Breakfast | Lunch | Dinner
Date/ |  |  |  |  | Time |  | Auto | Trans. |  |  | [NAME]. |  | Meal Rates
Month | Description of Travel, Destination |  |  |  | Leave | Return | [NAME] | Costs | Meals | Lodging | Expense |  | 7 | Breakfast | NOTE: Must leave before 5:31 a.m. to claim breakfast; must leave before 11:31 a.m. to claim lunch and must leave before 5:31 p.m.to claim dinner. Must leave before 5:31 a.m. and return after 7 :59 p.m. to claim full day of meals.
 |  |  |  |  |  |  |  |  |  |  |  |  | 18 | Lunch
 |  |  |  |  |  |  |  |  |  |  |  |  | 25 | Dinner
 |  |  |  |  |  |  |  |  |  |  |  |  |  | All Day
 |  |  |  |  |  |  |  |  |  |  |  |  | Room
 |  |  |  |  |  |  |  |  |  |  |  |  | Original Receipt Required; Out of Country Rate of $150.00 + tax
 |  |  |  |  |  |  |  |  |  |  |  |  | A person designated as having authority to approve out-of-country travel requests may at the person's discretion approve up to 100 additional dollars a day for lodging provided the total amount paid to the employee does not exceed the actual cost of the lodging.
 |  |  |  |  |  |  |  |  |  |  |  |  | 5:01:02:10.01.  Out-of-country per diem rates.  Reimbursement for official state travel outside the United States of America shall be paid in United States dollars.  Prior approval by the department head is required for all out-of-country travel.  Receipts are required for all reimbursemetn of lodging.
 | All Claimant wishes to claim.
 |  |  |  |  |  |  | Subtotals
Purpose of Travel: (pause on all 3 lines for pop-up help) |  |  |  |  |  |  |  |  |  | Grand Total
 |  |  |  |  |  |  |  |  |  | Apply to Advance | 0
 |  |  |  |  |  |  |  |  |  | Amount Reimbursable
I declare and affirm under the penalties of perjury that this claim has been examined by me, and to the best of my knowledge and belief, is in all things true and correct.
I further agree to comply with the provisions of the Civil Rights Act of 1964 and regulations issued thereunder relating to non-discrimination in federally assisted programs.
Claimant Signature |  |  |  |  |  |  |  |  | Date
Authorizing Signature |  |  |  |  |  |  |  |  | Date
Office Use Only
 | Vendor Invoice # | [NAME] |  |  |  | Banner Invoice #
Coding References |  |  |  | Seq. | Index | Fund | Org | Account | Prog | Activity | Amount
 |  | Commodity
Standard Mileage (low) |  | 75500 |  | 01 |  |  |  | 733220
[NAME] (high) |  | 75500 |  | 02 |  |  |  | 733230
Lodging |  | 48500 |  | 03 |  |  |  | 733360
Meals Overnight |  | 48500 |  | 04 |  |  |  | 733370
Meals Not Overnight |  | 48500 |  | 05 |  |  |  | 733340
[NAME]Taxi |  | 75500 |  | 06 |  |  |  | 733280
Incidentals |  | 75500 |  | 07 |  |  |  | 733390
Commercial Airfare |  | 75500 |  | 08 |  |  |  | 733380
Registration Fees |  | 70000 |  | 09 |  |  |  | 744160
Other |  | 75500 |  | 10
Prepared By (if other than Claimant) |  |  |  |  |  |  |  |  | Date