MACON BIBB COUNTY GOVERNMENT              Revised Jan 2021
                                  TRAVEL EXPENSE REQUISITION FORM
                        (MUST BE TURNED IN NO LATER THAN 72 HOURS UPON RETURN)
           DATE:                       ACCOUNT NUMBER:
           NAME OF TRAVELER:                                       EXT:
           DEPARTMENT:
           DESTINATION: 
           PURPOSE OF TRIP:
           DEPARTURE DATE:                TIME:                    AM      PM
           RETURN DATE:                   TIME:                    AM      PM
                                        ITEMIZED EXPENSES
                   TRANSPORTATION                          PREPAID BY MACON BIBB COUNTY
               0.56
                      MILES @ .56 PER MILE                 HOTEL
           (PERSONAL VEHICLE)                                     -   
                                                           AIRLINE
           GAS AND OIL (MBCG Vehicle)**
                                                           REGISTRATION
           OTHER TRANSPORTATION**
                                                           OTHER (Explain)
           TOLL CHARGES
           PARKING FEES**
           TOTAL TRANSPORTATION             $                    -   
                                                            PAID WITH PURCHASING CARD
           Do not include prepaid items in totals
           HOTEL/MOTEL**                                   HOTEL
           MEALS (Paid at Per Diem)                        AIRLINE
           (Tips for meals included in meal allowance)
                                                           REGISTRATION
           TELEPHONE (Business Only)
                                                           OTHER (Explain)
           OTHER (Explain)
           TOTAL TRAVEL EXPENSE             $                    -   
           LESS TRAVEL ADVANCE:
           BALANCE DUE: TRAVELER (  )  MBCG (  )   $                    -   
           I DO CERTIFY THAT THE EXPENSES HEREIN REPORTED ARE AUTHORIZED AND WERE USED
           FOR THE BENEFIT OF MBCG.
           EMPLOYEE SIGNATURE:
           SIGNATURE OF DEPARTMENT HEAD:
           COUNTY MANAGER/ASST COUNTY MGR:
         (signature of County Manager or Assistant County Manager is required for all Department Head travel)
         **Must Attach Receipts