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.

SIGNATURE__________________________________________________ DATE

APPROVED BY __________________________________________________________ DATE______