Laity Travel Reimbursement Form

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Greater New Jersey Conference
Laity - Travel Reimbursement
Payable to : __________________________________________
Date : ________________________________
Address : _____________________________________________________________________________________________________
Please keep accurate mileage log as required by IRS. Submit to Conference Treasurer's Office with toll receipts semi-annually (June 30 and December 31)
Reimbursements will be made by check only. This form may be reproduced for distribution.
Committee Name
Date of Meeting
Total Miles
$ Amount
Grand $ Total for Reimbursement
"Resolved that the Conference authorizes payment to laity of mileage and tolls incurred to attend conference meetings only if submitted to the Conference
Treasurer and only if total expense is greater than fifteen dollars per half of Conference budget year. Payment of mileage will be at the IRS charitable
reimbursement rate (currently 14 cents per mile) and payment of tolls will be at the actual costs incurred (receipts are required)." (2001 Journal, page 235)
Approved by _________________________________________
Print Name : ______________________________________________


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