Oregon State Bar Expense Reimbursement Report
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2Expense Reimbursement Report
Submit to: Accounts Payable, P.O. Box 231935, Tigard OR 97281-1935
Section Members: Submit this form to the section treasurer for approval.
Name
Bar Group
Bar #
Mailing Address
Detailed description of business expenses or activity for each day
Date:
Totals
/ /
/ /
/ /
/ /
/ /
Breakfast
-
Lunch
-
Dinner
-
Lodging
-
Airfare/Car Rental
-
Taxi & Local Fare
-
Parking
-
Misc (Specify)
-
-
-
-
-
-
-
-
Totals
Mileage Reimbursement
Date
Travel to/from
No. Miles
Remarks
-
-
0.54 /mi.
Total Mileage
Accounting Distribution
Totals
Account No.
Amount
Total Expenses
-
Less Advance
Total Reimbursement
-
or Amount due to OSB
-
Approval Signatures and Date:
Section/Dept
Accounting
CFO
Signature of requestor (required for payment)
Date
Attach necessary receipts and documentation.
Revised: Jan. 2016
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Parent category: Business