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["State of Kansas"]
["Department of Administration",{"$nulls":5},"Travel Expense Detail",{"$nulls":10},"Bus.\nUnit",null,"Expense Report #"]
["Office of Accounts and Reports"]
["DA-121 (Rev. 12-2020)\n",{"$nulls":5},"(Agency Use - Optional)"]
[]
["  Employee ID #",{"$nulls":11},"Job Title"]
["  Employee Name",{"$nulls":11},"Official Station"]
["  Home Address",{"$nulls":11},"Regular Domicile"]
["  City, State, Zip",{"$nulls":11},"Travel Period ",{"$nulls":6},"to ",{"$nulls":4},"Other Available Account Codes: "]
[]
[{"$nulls":24},"525520 - Car Rental"]
[{"$nulls":24},"525570 - Air/Bus/Rail Fare"]
[null,null,"Agency Funding",{"$nulls":9},"Account Code ",{"$nulls":6},"Amount",{"$nulls":4},"535200 - Diesel Fuel"]
[null,"Agency Number:","   ",{"$nulls":7},"525510 - Private Mileage",{"$nulls":6},"$",{"$f":"F42","v":{"v":0,"d":"$0.00"}},{"$nulls":5},"535100 - Gasoline"]
[null,"Fund:","   ",{"$nulls":7},"525580 - Meals & Lodging",{"$nulls":6},"$",{"$f":"H42+N42","v":{"v":0,"d":"$0.00"}},{"$nulls":5},"526610 - Conference/Training Fees"]
[null,"Budget Unit:","   ",{"$nulls":7},"525590 - Tolls/Parking/Cab/Shuttle",{"$nulls":6},"$",{"$f":"O42+Q42+R42","v":{"v":0,"d":"$0.00"}},{"$nulls":5},"525570 - Travel Agency Fees"]
[null,"Program:","   ",{"$nulls":6},"ˆ",{"$nulls":7},"$",{"$nulls":6},"525590 - Baggage Fee"]
[null,"Agy Use: ","   ",{"$nulls":6},"ˆ",{"$nulls":7},"$",{"$nulls":6},"525590 - Other Misc. Travel Expense"]
[{"$nulls":9},"ˆ",{"$nulls":7},"$",{"$nulls":6},"526210 - Honorariums Reimb Trvl"]
[{"$nulls":16},"Total:","$",{"$f":"SUM(S14:V19)","v":{"v":0,"d":"$0.00"}},{"$nulls":5},"Other - See Comments"]
[]
[]
["Travel Purpose / Description",{"$nulls":10},"Travel Authorization # (if applicable)"]
[]
["Date","Depart\n Time\n(08:00)\n24hr Format","Arrival\nTime\n(17:00)\n24hr Format","Private Vehicle Miles","Departure / Destination",null,"Meals\nProvided\n(B/L/D)","M&IE\nAmount","Lodging",{"$nulls":5},"Non-Subsistence",{"$nulls":3},"Car \nRental","Other","Purpose of Travel\nand/or\nDescription of Other Expenses"]
[{"$nulls":8},"Hotel Name",{"$nulls":3},"Brkft (Y/N)","Amt \n(if NOT Direct Billed)","Tolls",null,"Parking","Cab/\nShuttle"]
{"$rows_empty":14}
["TOTALS  ",null,null,"Miles","Mileage Rate","Mileage",null,"Meals",{"$nulls":5},"Lodging","Tolls",null,"Parking","Cab","Car","Other","Document Total"]
[{"$nulls":3},{"$f":"SUM(D27:D39)","v":0},0.56,{"$f":"D42*E42","v":{"v":0,"d":"$0.000"}},null,{"$f":"SUM(H27:H39)","v":{"v":0,"d":"$0.00"}},{"$nulls":5},{"$f":"SUM(N27:N39)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(O27:P39,)","v":{"v":0,"d":"$0.00"}},null,{"$f":"SUM(Q27:Q39)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(R27:R39)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(S27:S39,)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(T27:T39,)","v":{"v":0,"d":"$0.00"}},{"$f":"F42+G42+N42+O42+Q42+R42+S42+H42+T42","v":{"v":0,"d":"$0.00"}}]
["↓↓ Enter Travel Comments Below ↓↓",{"$nulls":6},"CLAIMANT CERTIFICATION:"]
[{"$nulls":7},"I certify that the above claim is correct, due and unpaid, and that the amount claimed herin is actually due according to law."]
[]
[{"$nulls":7},"Employee Signature ",{"$nulls":12},"Date"]
[{"$nulls":7},"AGENCY APPROVAL: "]
[]
[{"$nulls":7},"Supervisor Approval ",{"$nulls":12},"Date"]
[]
[{"$nulls":7},"Agency Head/Designee Approval   (if applicable, see PM 3,817) ",{"$nulls":12},"Date"]
[]
["Reviewed and Keyed By: ",{"$nulls":6},"Date: "]
[]
[]
["The Employee Travel Expense Reimbursement Handbook can be located on the OAR website: ",{"$nulls":10},"https://admin.ks.gov/offices/oar/travel-information-for-state-employees"]
["For SMART Travel & Expense Job Aids  please visit the SMART Web at:",{"$nulls":6},"http://www.smartweb.ks.gov/training/expenses"]
[]
["NOTE: Travel & Expense Reports should be submitted and recorded at least monthly. "]
[]
["4100 Meals and Incidental Expense (M&IE) Reimbursement\n(A) M&IE determination.  Employees may be reimbursed for M&IE while in travel status.  M&IE reimbursement is based on quarter days with the daily M&IE rate divided equally between quarters.  M&IE is provided for the time in which the employee is in travel status, including the quarters the employee departs and returns. \n\nOn the day of departure and the day in which the employee returns to the official station or domicile, M&IE is reimbursed as follows:  \n                                                                                 % of M&IE\n                                                                         Day of           Day of\nTime of Departure \n      or Return                  Quarter Day       Departure        Return\n12:00 AM - 5:59 AM       Quarter 1              100%             25%\n6:00 AM - 11:59 AM       Quarter 2              75%               50%\n12:00 PM - 5:59 PM       Quarter 3              50%               75%\n6:00 PM - 11:59 PM       Quarter 4              25%              100%\n\nUnless a reduction is made for provided meals (section 4301), employees are reimbursed for the full daily M&IE rate on days in travel status between the departure and returning days. The M&IE rate (includes charges for meals, taxes, and all fees and tips to waiters, hotel porters, bellhops, doormen, maids and dining room stewards)."]
["4301 Reduced Meals and Incidental Expense (M&IE) Reimbursement for Meals Provided at No Cost to the Employee\nAn agency shall reduce the M&IE reimbursement by the amount shown below for each meal provided to an employee if the cost of meals is included in the cost of a registration fee or other fees or charges paid by the agency or provided at no cost to the employee.  This includes complimentary breakfasts offered to employees at lodging establishments.\n\nReduced % of Daily M&IE Rate:  Breakfast 15%,  Lunch 35%,  Dinner 50%"]

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[]
["Colby",null,"WE29113-OPS",null,"WETH - COLBY",null,"526960 - Recording Fees (Money Orders)",null,"520100- Postage"]
["Concordia",null,"WE29213-EES",null,"WECD - CONCORDIA",null,"529100 - License Renewals",null,"535100- Gasoline"]
["Dodge City",null,"WE29223-EES QA",null,"WEFO - DODGE CITY"]
["Emporia",null,"WE29253-EES TANF",null,"WELY - EMPORIA"]
["Garden City",null,"WE29303-VRS",null,"WEFI - GARDEN CITY"]
["Goodland",null,"WE29313-VRS Pre-ETS",null,"WESH - GOODLAND"]
["Great Bend",null,"WE29503-PPS",null,"WEBT - GREAT BEND"]
["Greensburg",null,"WE29913-REFUGE",null,"WEKW - GREENSBURG"]
["Hays",null,"ISD25310-TANF Employment Services",null,"WEEL - HAYS"]
["Hutchinson",null,"ISD26113 –VRS Training",null,"WERN - HUTCHINSON"]
["Junction City",null,"ISD27352 – APS Training/APS APA",null,"WEGE - JUNCTION CITY"]
["Liberal",null,"ISD27411 – PPS Training (CAPTA)",null,"WESW - LIBERAL"]
["Manhattan",{"$nulls":3},"WERL - MANHATTAN"]
["McPherson",{"$nulls":3},"WEMP - McPHERSON"]
["Newton",{"$nulls":3},"WEHV - NEWTON"]
["Phillipsburg",{"$nulls":3},"WEPL - PHILLIPSBURG"]
["Salina",{"$nulls":3},"WESA - SALINA"]