Fillable Printable Expense Reimbursement Form - Sigma Chi Fraternity

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