46th ConFusion Expense Report
*Fill out this form for each individual receipt.

*A copy of each receipt must be given to the treasurer BEFORE any reimbursement will be issued.

*ALL reimbursements must be filed before February 29, 2020.

Questions? Email: treasurer@confusionsf.org 
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Name *
Phone *
Address *
Department *
Date of Out of Pocket Expense(s) *
MM
/
DD
/
YYYY
Description *
Please list the items from this receipt that apply to this reimbursement.
Purpose *
Describe what this expense is for; example: Cookies for KidFusion purchased by Consuite, Markers for Mural of Confusion, etc.
Location of Expenses *
Enter the Business Location/Website of purchase
Amount *
Please provide total amount owed for this receipt.
In what form would you like your reimbursement issued? *
Additional Notes for the Treasurer
Use this space to provide any further info to our Treasurer; such as to whom the check is written to, etc.
By checking the box below, I understand that I must provide the ConFusion Treasurer with receipt(s) BEFORE I receive any reimbursement. *
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