Sowh Leadership & Volunteer Expense Report Form

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CLEAR TABLE
SOWH Leadership & Volunteer Expense Report Form
SECTION ON WOMEN'S HEALTH
Date:
NAME:
*$0.56 is reimbursed per mile traveled
DATE OF
FORM OF
TAXI
RENTAL
ITEM
EXPENSE
DESCRIPTION
PAYMENT
AIRFARE
HOTEL
MEALS
PARKING
CAR
OTHER
TOTAL
1
$ 0.00
2
$ 0.00
3
$ 0.00
4
$ 0.00
5
$ 0.00
6
$ 0.00
7
$ 0.00
8
$ 0.00
9
$ 0.00
10
$ 0.00
11
$ 0.00
12
$ 0.00
13
$ 0.00
14
$ 0.00
15
$ 0.00
16
$ 0.00
17
$ 0.00
18
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
Employee Signature _______________________________
Total
-
-
-
-
-
-
$ 0.00
Supervisor Signature _______________________________
Total Expense $:
Account
INSTRUCTIONS:
Number
Account Description
Amount
1 - Submit original receipts.
Enter as a negative amount
2 - Tape original receipts to 8-1/2 by 11 piece of paper.
-
3 - Number each original receipt to correspond to line item on expense report.
-
$ 0.00
4 - Code each original receipt with a general ledger expense account number.
-
Total Amount Due $:
5 - Have your direct supervisor approve and sign your expense report.
-
6 - Submit to accounting department for entry
-
Employee $:
$ 0.00
ED Signature: __________________________________
TOTAL
-
Client $:
-
Proof

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