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(mark with a cross)Jo no part of the claim relates to holidays or private business activitiesOVERALL GROSS TOTAL CLAIMEDLESS: Advance received (if any)NET CLAIM / REFUND DUEAnalysis Code ListLABORATORY SUPPLIES/CONSUMABLESAIR TRAVEL (UK/EU) RENTS PAYABLE CHEMICALSAIR TRAVEL (Non UK/EU))MINOR WORK/MAINTENANCEGLASSWARE & PLASTICWARE RAIL (UK/EU)'MINOR WORKS RECHARGE TO CAPITAL PROJECTGASESRAIL (Non UK/EU)) BUILDING WORKCYLINDER RENTALCAR HIRE (UK/EU)MECHANICAL WORK ELECTRICAL / MECHANICAL SUPPLIESCAR HIRE (Non UK/EU))ELECTRICAL WORKWORKSHOP BOUGHT-IN SERVICESMILEAGE (UK/EU) PLUMBING WORKHAND / POWER TOOLSMILEAGE (Non UK/EU)) MEMBERSHIP SUBSCRIPTIONS PAYABLEPAINTING & DECORATINGWORKSHOP MATERIALSTAXIDEFECTSOTHER TRAVEL (UK/EU)SIGNAGEOTHER TRAVEL (Non UK/EU))GARDENING CONTRACTSEQUIPMENT PURCHASE > 50000CAR PARKING FEESHEALTH SCREENINGMAINTENANCE CONTRACT-SHORT TERM&TRAVEL - INTER DEPARTMENTAL/SITES (UK)GROUND RENT AND SERVICE CHARGESTEACHING EQUIPMENT PURCHASE CARPENTRYCOMPUTER EQUIPMENT PURCHASEDRAINSCLEANING EQUIPMENT PURCHASE*HOTEL, ACCOMMODATION & SUBSISTENCE (UK/EU)ADVERTISING-STAFF FIRE ALARMS!AV & OTHER CONFERENCING EQUIPMENT/HOTEL, ACCOMMODATION & SUBSISTENCE (Non UK/EU))ADVERTISING-COURSESLIGHTING MAINTENANCEEQUIPMENT MAINTENANCEADVERTISING-DEPARTMENTHV MAINTENANCECOMPUTER EQUIPMENT MAINTENANCEADVERTISING-STUDENTSHIPSCHILLERS MAINTENANCEEQUIPMENT RENTALHOSPITALITY-EMPLOYEE ONLYLIFT MAINTENANCEHOSPITALITY-STUDENTS/GUESTSTANK MAINTENANCEBOOKSFUME CUPBOARD MAINTENANCESOFTWARE PURCHASESLIBRARY PERIODICALS/NEWSPAPERSACCESS CONTROLSOFTWARE MAINTENANCE & LICENCESTRAINING / COURSE FEESLIBRARY BINDINGAUTOCLAVE MAINTENANCESHORT COURSE MANAGEMENT FEEINTER-LIBRARY LOANS ELECTRICITY IT SUPPORTCONFERENCE FEES (UK/EU)LIBRARY SUNDRIESGASNETWORK INSTALLATION / SERVICESCONFERENCE FEES (Non UK/EU))LIBRARY MUSIC CD'S / SCORES OIL HEATINGWEB DESIGN AND MAINTENANCEPUBLICATION PRODUCTION STEAM HEATING INTERNET COSTBUSINESS RATES / COUNCIL TAXBIOINFORMATICS STANDARD ACCESSPRIZES / AWARDSSAFETY EXPENSESCOMMISSIONS PAYABLESAFETY TRAININGSECURITY EXPENSES STATIONERYEXAMINATION FEES/EXPENSESELECTRICAL TESTINGSECURITY CONTRACTS PHOTOCOPYINGFIRE PRECAUTIONAUDIO-VISUAL MATERIALSRADIOACTIVE WASTE DISPOSAL PHOTOGRAPHYCLEANING MATERIALSTOXIC WASTE DISPOSALPATENTS/ROYALTIES PAYABLEPRINTINGCLEANING CONTRACTSCLINICAL/MEDICAL WASTE DISPOSALLICENCESOFFICE SUNDRIESCLOTHING & UNIFORMS%OFFICE & LAB MOVES / REMOVAL EXPENSESNEW COURSE MATERIALLAUNDRYWINDOW CLEANINGVEHICLE PURCHASESHARDSHIPGENERAL WASTE DISPOSALVEHICLE EXPENSES HORTICULTUREPOSTAGESCLEANING AGENTSUNION SUBVENTIONGROUP POST / COURIERS / FREIGHT PEST CONTROLSUBSIDIARY COMPANY CHARGETELEPHONE CALLS/RENTDEEP CLEANING CONTRACTS INSURANCEMOBILE PHONE CALLS/RENTINSURANCE CLAIMSFURNITURE PURCHASEFURNITURE MAINTENANCE/REPAIRSFURNITURE RENTALJA full list can be downloaded from the finance division's intranet pages. LABORATORY AND WORKSHOP SUPPLIESEQUIPMENT AND HARDWARE COMPUTER SOFTWARE AND EXPENSES TRAVEL General MOTOR MILEAGE"HOTEL, ACCOMMODATION & SUBSISTENCE HOSPITALITYOFFICE EXPENSESPOSTAGE AND TELECOM EXPENSESTRAINING & DEVELOPMENTOTHER EMPLOYEE/STUDENT EXPENSESCLEANING FURNITUREPROFESSIONAL SERVICES ADVERTISING AND PUBLIC RELATIONSLIBRARY EXPENDITURESAFETYVEHICLESESTATES & BUILDINGSSECURITY MISCELLANEOUSSterling total () -Organisation represented or other descriptionNumber of miles,SUB-TOTAL: SUBSISTENCE / INCIDENTALS / OTHER&SUB-TOTAL: ENTERTAINMENT / HOSPITALITYSUB-TOTAL: MILEAGESUB-TOTAL: TRAVELIEQUIPMENT PURCHASE (under 100, unless approved by departmental manager) "RELOCATION (should go via payroll)INELIGIBLE FOR EXPENSE CLAIMSALL PAYROLL COSTS 144601 etcGThis list contains only the codes eligible for use on expense claims. College Identifier (CID Number):The section below must be completed by students, casual staff and visitors to the college. For employees, this information is obtained from HR and payroll.Date of birth: Bank Name: Home address: Bank Branch:Sort code: (or SWIFT)Account No.: (or IBAN): Post Code:Tick if Non UK/EU Travel Analysis CodeAIR TRAVELFALSE AIR TRAVELAIR TRAVELTRUERAIL RAILFALSERAILTRUECAR HIRE CAR HIREFALSE CAR PARKING CAR HIRETRUEOTHER TAXIFALSETAXITRUE!!!!COMMON TYPES!!!! ICIS Code Cost Centre:Activity / Project No.:OTHER TRAVELFLASEOTHER TRAVELTRUECONFERENCE FEESCAR PARKINGFALSEEQUIPMENT PURCHASETick if Non UK/EUCAR PARKINGTRUEEXAMINATION FEESHOTEL / SUBSISTENCE LAB SUPPLIESMEMBERSHIP SUBS. MILEAGEFALSEMOBILE CALLS/RENT MILEAGETRUE!Tick if Non-College Staff PresentHOSPITALITYFALSEHOSPITALITYTRUE!!!!!OTHER TYPES!!!!! AV EQUIPMENTHOTEL / SUBSISTENCEFALSE AV MATERIALSHOTEL / SUBSISTENCETRUE+Subsistence / Hotels / Incidentals / Others Expense TypeCOMPUTING EQUIP.CONFERENCE FEESFALSECOURIERS / FREIGHTCONFERENCE FEESTRUECOURSE MATERIALELECTRICAL SUPPLIES GLASSWARESOFTWARE LICENCES LIBRARY MUSICLIBRARY PERIODICALSPATENTS/ROYALTIESJo the ICIS code(s) are valid and appropriate for expenditure of this typeDate:/Secondary departmental authorisation (Optional)lAs you complete this form cells will become shaded light red to help indicate where data needs to be enteredReturn?Sub Total (AP Use Only)4o receipts are provided and correspond to the claimName:o any cost relating to travel costs for my spouse, partner, family or others who are not employees engaged on College business have been deducteddOnce completed, this form must be emailed - with receipts - to POandAP@imperial.ac.uk for processingv1.2 pẋ$,؉qyT\ mu  я { (ȑmu%CK2:.6ƚ:BӜ8@ccB ZO (   dMbP?_*+%&x ?j 11111111111c%2334 8 99:  ; ;l GDDDDDDDc%2334    lDDDmmmmmnnn$c%2334  lDDDmmmmmnnnc%2334    lDDDmmmmmnnn c%5667"# o p !d DDDDDIDDq r%   I m K s r& t u   t   u u v  ~ JFA K# W~ JFA JK C C D Ar Air Travel q jT w Vx  y   Z  PLL- @ @BfA$LL- @ @BfB 1 z! %  @D %  @BY j]~ JFA K& W~ JFA JK C C   @5LArRail2 q]]]]]]]]]]]]]]]]]]]]]- jTwwVx  y     z  !O Ad e @ b%"%  @d %  @bYB j~ JFA K) W~ JFA JK G< C  Taxi {jTwwVx  y     z  !O  Ad e @ b%"% @d % @bYBj~ JGA K, W~ JGA JK GC   Car Hire{jTwwVx  y    z*  !O  Ad e  @ b%"% @d % @bYBj~ J GA K/ W~ J GA JK GC   Car Parking{jTwwVx  y    z  !O  Ad e  @ b%"% @d % @bYBj~ J8GA K2 W~ J8GA JK GC  Other{jTwwVx  y    z  !O  Ad e  @ b%"% @d % @bYBj~ JGA K< W~ JGA JKGC  { |r # } %    ~ #  %  k~ JGA K< W~ JGA JK C  +!!!!Common Types!!!!2{kkkkkkkkkkkkkkkkkkkkk- |r    |~ JGA K> W~ JGA JI _C Booksq"|| ~ JGA K@ W~ JGA JK C Conference Feesq |r  ~ JGA KC K~ JGA JK C Equipment Purchaseq |r t u     u   v    ~ JGA KC K~ JGA JI C Examination FeesqjTw~ VF@=  'DDD B yT @>D &MILEAGED %@@Bf B 1 z % @ D % @ BY j]~ JGA KFK~ JGA GK C Hotel / Subsistence2q]]]]]]]]]]]]]]]]]]]]]-jTw~ VF@  yT  >D &MILEAGED %@@Bf B  z2  !O  Ad e @ b%"% @d % @bYBjGGGGCK vC  Internet Cost{jTw~ VF@=  'DDD B yT  >D &MILEAGED %@@Bf B  z  !O  Ad e @ b%"% @d % @bYBjGGGGCK C  Lab Supplies{ |r #  %    # # % k NI C Membership Subs.2{kkkkkkkkkkkkkkkkkkkkk- |r    |~ JPGA K5 C~ JPGA GI C Mobile Calls/Rentq"|| k~ JhGA K8 K~ JhGAK C Office Sundries2{kkkkkkkkkkkkkkkkkkkkk- |r   L GK yC Prizes / Awardsq |r       u      ILGGK $C  Rents PayableqjTwUx  X BD * HOSPITALITYD % @@Bf B 1 z. %" @ D %" @ BY j]~ JA K[ K~ JA GI zC  Safety Expenses2q]]]]]]]]]]]]]]]]]]]]]-D0!ln2~rz^H^Zh?W[^X@rB}, .;k0!.;k0".;k0#.;@$.@%.h@&.;@'.@ (.;k0).;k0*.;k0+.;k0,.;k0-.;k0..;k0/.;@0.@1.@2.Y@3.Y@ 4.Y@5.@6.;7.J@8.@9.@:.@;.@<.@=.@>.@?.Y@ jTwUx  X BD * HOSPITALITYD % @@Bf B  z  !O Ad e @ b%"% " @d % " @bYB j~ JتA K] K~ JتA GK a C  Software Purchases {!jTwx ! X!  BD! * HOSPITALITYD! % @@Bf B! ! z" ! !O!! ! Ad! e @ b%"%!" @d! %!" @bYB!j!GGKGCK !e!C!  Training / Course Fees!{"jTwx " X" !BD" * HOSPITALITYD" % @@Bf B" " z " !O"" " Ad" e! @ b%"%"" @d" %"" @bYB"j"CCCCCK ""C"  -!!!!!Other Types!!!!!"{ #|r #### " %" 0 # ## 2 %" 0#k #I #GG#K ##C#   Av Equipment2#{kkkkkkkkkkkkkkkkkkkkk- $|r $ $ $ $$|~ $JMA $KM $~ $JMA $GK $$C#  Av Materials$q"%|| ~ %JMA %KQ %~ %JMA %GI %%C$ Cleaning Materials%q.%kkkkkkkkkkkkkkkkkkkk- &|r && &kG &I &GG&J &&C% Clothing & Uniforms &{k '|r ' ' ' ' ' ' u ' v ' ' ' ~ 'JA 'Ke 'e~ 'JA 'GO ''C& Computing Equip.'q(jTwx ( y( '( (. uLLB$PLL @ LL @ B%LL ,B-$f@@Bf B( 1( z/ %(. @ D( %(. @ BY (j]~ (JЧA (Kl (~ (JЧA (GO ((C(  Couriers / Freight2(q]]]]]]]]]]]]]]]]]]]]]-)jTwx ) y) (( ) ) z+ ) !O)) ) Ad) e(( @ b%"%). @d) %). @bYB )j]~ )JA )Kp )~ )JA )GJ ))C)  Course Material )q]*jTwx * y* )( * * z * !O** * Ad* e() @ b%"%*. @d* %*. @bYB*j*C *I*CCGJ **C*  Electrical Supplies*{+jTwx + y+ *( + + z( + !O++ + Ad+ e(* @ b%"%+. @d+ %+. @bYB+j~ +JhA +K9 +~ +JhA +CJ ++C+  Furniture Purchase+{,jTwx , y, +( , , z- , !O,, , Ad, e(+ @ b%"%,. @d, %,. @bYB,j~ ,JA ,KD ,KD~ ,JA ,CJ ,,C,   Glassware,{-jTwx - y- ,( - - z - !O-- - Ad- e(, @ b%"%-. @d- %-. @bYB-j-C -I-CCQJ -7-C-  Hand / Power Tools-{-{.jTwx . y. -( . . z) . !O.. . Ad. e(- @ b%"%.. @d. %.. @bYB.j~ .J*A .Ka .a~ .J*A .CJ ..C.   Hardship .{{{/ //#/ . %(.  / #/ , %(. /k~ /J*A /Kd /~ /J*A/J /KD/C/  Health Screening2/{{{kkkkkkkkkkkkkkkkkkk- 0|r 0 0 0 00|~ 0J0+A 0Kv 0v~ 0J0+A0J 00C/  Laundry0q 1 1I1J 11C0  Library Music 1qqq&1kkkkkkkkkkkkkkkk- 22.2 4 D/ D# D D  2 .2 4 D/ D# D D 2k~ 2J@A 2K" 2~ 2J@A2J 22C1 Library Periodicals2qqkk 33 3 2D3 ~ 3JpA 3K( 3~ 3JpA3J 33C3  Patents/Royalties 33k 4 4"4 ! 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