Section Expense Reimbursement Form - State Bar Of Michigan

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Please provide account no.
Amount
Payee Name
Street
306 Townsend St., Lansing MI 48933-2012, (800) 968-1442
City
Zip Code
State
Section Expense Reimbursement Form
E-Mail
Phone
Staple receipts to back of form as required. For electronic transmittal,
Section
scan and PDF receipts and send with form by e-mail. Policies and
Select your section
procedures on reverse side.
$ 0.00
Amount Total
Date
Lodging/Other Travel
Total
Description & Purpose
Mileage
Meals
Miscellaneous
(Note start and end point for mileage)
(Self + attach
(i.e. copying,
Rate | Mileage | Reimbursement
list of guests)
phone, etc.)
.545
0
$ 0.00
.545
0
$ 0.00
.545
0
$ 0.00
.545
0
$ 0.00
.545
0
$ 0.00
.545
0
$ 0.00
.545
0
$ 0.00
$ 0.00
I certify that the reported expense was actually incurred
GrandTotal
while performing my duties for the State Bar of Michigan as
Date
Title
Signature
Reset Form
Print
Date
Title
Approved by (Signature)

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