<>McHenry County Retired Teachers Association<>
Expense Voucher

NAME _______________________________________________________________

ADDRESS ____________________________________________________________

CITY, ST, ZIP _________________________________________________________

BUDGET CATEGORY___________________________________________________ 


TOTAL TRAVEL CAR MILEAGE @ .35/mi                                                            $________

PARKING TAXI TOLL OTHER                                                                               $________

POSTAGE                                                                                                               $_________

TELEPHONE                                                                                                        $________

SUPPLIES                                                                                                               $________

MIMEOGRAPHING, PRINTING, COPYING                                                           $________

SPECIAL EXPENSE (EXPLAIN ON REVERSE SIDE)                                         $________

ACCOMMODATIONS: HOTEL/MOTEL                                                                $________

MEALS                                                                                                                    $_________

ATTACH ALL BILLS & RECEIPTS

VOUCHER TOTAL_______________________________________________ $ ______________

REPORT ON THE REVERSE SIDE OF THIS FORM THE DATES, EXPENSES, DESTINATIONS, AND REASON FOR EXPENSE IF FOR TRAVEL.

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SIGNATURE__________________________________________________ DATE

APPROVED BY __________________________________________________________ DATE______