Expense Reimbursement Form - Sigma Chi Fraternity

Upd. 8/20/09
Macintosh HD:Users:jonesj:Library:Caches:TemporaryItems:Outlook Temp:Expense_Rpt-Blank 6-30-2014.xlsx
Expense_Rpt-Blank 6-30-2014.xlsx
SIGMA CHI FRATERNITY Name: Purpose of expense:
EXPENSE REIMBURSEMENT FORM Position: Travel from:
1714 Hinman Ave, Evanston, IL 60201 Address: Travel to:
Phone: (847) 869-3655 Fax: (847) 869-4906 Travel date start:
Email: [email protected] Travel date end:
Phone:
TRAVEL AND LODGING OTHER
Airfare (lowest fare possible w/21-day advance purchase) $ Date Description Amount
Automobile Mileage: __________ miles @ $.35/Mile -$ $
Other Travel (please describe in Notes section below) $ $
Lodging: Dates ___________ Cost per Night: $______ $ $
TOTAL -$ $
$
$
MEALS $
Date Meals Br Lunch Dinner Daily Total TOTAL -$
$
-$ SUMMARY
-$ Travel & Lodging Total -$
-$ Meals Total -$
-$ Other Expenses Total -$
-$ Less Contribution to the Foundation
-$
-$
TOTAL -$ TOTAL -$
REMINDERS OFFICE USE ONLY
Please refer to the Grand Quaestor's Expense Policy in the Standard Operating Procedures Manual when completing this report.
Attach receipts for all expenses. Date Issued:
Contributions to the Sigma Chi Foundation are tax deductible and assist in the development of the Fraternity's educational programs. Authorized by:
Expense Reports must be submitted no less often than once each month, preferably upon completion of each major trip.
Please make a copy of this report for your own record. Headquarters will return a copy to you only if a change has been made on the submitted report.
NOTES: Account Distribution:
Signature Date
Page 1/1
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