/Expense+Reimbursement+Form+12011

Page 1

LEAGUE OF SOUTHEASTERN CREDIT UNIONS AND ASSOCIATES BOARD OF DIRECTORS & COMMITTEES EXPENSE REPORT NOTE: PLEASE REVIEW TRAVEL EXPENSE POLICIES BEFORE COMPLETING

The following expenses were incurred by ο ο ο ο

while attending a meeting of the

LSCU Board of Directors LSCU Executive Committee LSCU Service Group Board of Directors ____________________________________ Committee

held at

on

, 20

.

TRANSPORTATION (1) Commercial: (Receipt must be attached) .............................................................$_______________ (2) Private: (

@ standard IRS mileage rate

TAXI (

# of miles)......................$_______________

)......................................................$_______________

PARKING (

)..........................................................................$_______________

LODGING (Receipt must be attached)..................................................................................$_______________ MEALS (Mon)

(Tues)

(Wed)

(Thurs)

(Fri)

(Sat)

(Sun)

Bk. $

$

$

$

$

$

$______

Lun.$

$

$

$

$

$

$______

Din.$

$

$

$

$

$

$______

Tot.$

$

$

$

$

$

$______

Total Meals

______________

TIPS & OTHER EXPENSES (

)

$_______________

(Explanation) TOTAL EXPENSES

$____________________

MAIL TO: League of Southeastern Credit Unions, Inc. Attn: Scott Morgan Post Office Box 3108, Tallahassee, FL 32315-3108 EMAIL or FAX: Scott.morgan@lscu.coop / 850-558-1111 Make Check Payable To: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Approval: ____________________ Effective with IRS change January, 2011

Date Approved: ______________


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