Please attach a copy
of the conference flyer
HICKMAN COUNTY, TENNESSEE
and all receipts
TRAVEL EXPENSE REIMBURSEMENT FORM
PAGE
OF
to be reimbursed
for meals, hotel and parking.
NAME OF EMPLOYEE
DEPARTMENT
SUPERVISOR
OBJECT OF TRIP
DATE(S) OF TRAVEL
TO
STATEMENT OF EXPENSES INCURRED
@
TAXI/
DATE
PLACE LEFT
TIME LEFT
PLACE ARRIVED
TIME ARRIVED
TOTAL
$0.725
PARKING
LODGING
BRKFST
LUNCH
DINNER
OTHER
TOTAL
MILES
OTHER
ITEMIZE
I certify that the above stated expenses were incurred by me while traveling
I certify that this reimbursement request is justified
on behalf of Hickman County, Tennessee.
and should be processed as submitted.
TOTAL $
Employee:
Date:
Department Head:
Date:
-
Approved:
Date:
Accounting Code:
-
Warrant No:
updated 01-01-2010
(County Mayor/School Supt./Highway Supt.)
Meals and incidental expenses (M&IE) rates and breakdown
The M&IE total is the full daily amount for a single calendar day when that day is neither the first nor last day of travel. The amount received on the first and last day
of travel equals 75% of the M&IE total. See M&IE breakdowns for information related to the individual meal amounts.
Filter results
75%
Primary
Incidental
First and last
County
i
M&IE total
Breakfast
Lunch
destination
Dinner
expenses
day of travel
Standard Rate
Applies for all locations without specified rates
$68
$16
$19
$28
$5
$51.00
Brentwood / Franklin
Williamson
$86
$22
$23
$36
$5
$64.50
Chattanooga
Hamilton
$74
$18
$20
$31
$5
$55.50
Knoxville
Knox
$74
$18
$20
$31
$5
$55.50
Memphis
Shelby
$74
$18
$20
$31
$5
$55.50
Nashville
Davidson
$86
$22
$23
$36
$5
$64.50

## Table 1

| DATE | PLACE LEFT | TIME LEFT | PLACE ARRIVED | TIME ARRIVED | TOTAL MILES | @ $0.725 | TAXI/ PARKING OTHER | LODGING | BRKFST | LUNCH | DINNER | OTHER ITEMIZE | TOTAL |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
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## Table 2

| Primary destination | County i | M&IE total | Breakfast | Lunch | Dinner | Incidental expenses | First and last day of travel |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Standard Rate | Applies for all locations without specified rates | $68 | $16 | $19 | $28 | $5 | $51.00 |
| Brentwood / Franklin | Williamson | $86 | $22 | $23 | $36 | $5 | $64.50 |
| Chattanooga | Hamilton | $74 | $18 | $20 | $31 | $5 | $55.50 |
| Knoxville | Knox | $74 | $18 | $20 | $31 | $5 | $55.50 |
| Memphis | Shelby | $74 | $18 | $20 | $31 | $5 | $55.50 |
| Nashville | Davidson | $86 | $22 | $23 | $36 | $5 | $64.50 |