Expense
Voucher
NAME
_______________________________________________________________
ADDRESS
____________________________________________________________
CITY,
ST, ZIP
_________________________________________________________
TOTAL
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______