IBPSA-USA Scholarship Expense Claim

	A	B	C	D	E	F
1	2018 Building Performance Analysis Conference and SimBuild, co-organized by ASHRAE and IBPSA-USA
2	IBPSA-USA Scholarship Reimbursement
3		INSTRUCTIONS: Fill out the below form completely. You MUST include a scanned page of all your receipts, each one should be numbered and layed out in order by receipt # as listed below.
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6	Recipient
7		Name		Rawad El Kontar
8		Email		rrelkont@syr.edu
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10	Payee
11		Name		Rawad El Kontar
12		Address		109 Avondale Place
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14		City / State / Zip		Syracuse / NY / 13210
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16	Expenses (list by receipt)			Amount	Currency conversion	Amount (USD)
17	Transportation		Receipt #
18		Flight Expenses	ONC7NM	393.55	1	$ 393.55
19					1	$ -
20					1	$ -
21	Lodging
22		Congrass Plaza Hotel Chicago		387.18	1	$ 387.18
23					1	$ -
24	Conference registration
25		Student Registration Fee	8357314	350.00	1	$ 350.00
26					1	$ -
27					1	$ -
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29	Total					$ 1,130.73
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31	Amount claimed
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34	Certification:
35		I certify that the above expenses were incurred for attendence of the 2018 Building Performance Analysis Conference and SimBuild and have not been otherwise reimbursed.
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37		Signed		Rawad El Kontar
38		Date		10/12/2018
39	Our policy for reimbursement is to send fund electronically. You have two choices. Please check your preference. Most reimbursements will be paid within 7 days of receipt.
40		PayPal, Please provide your PayPal email address:
41	X	EFT, For Electronic Funds Transfer we need: Bank Name, Bank Address, Checking Account #, Bank Routing Number:
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44	Instructions
45		1. Fill in above as appropriate.
46		2. For expenses incurred in currencies other than USD, use conversion factor(s) from www.oanda.com for August 8, 2018. For non-USD credit card charges, you may use the USD amount from your statement (including any foreign transactions fees).
47		3. Combine this form and images of all receipts into a single PDF named: SimBuild2018Claim_[yourname].pdf
48		4. Email claim to ops@ibpsa.us - Forms are due Monday October 15, 2018. Any forms submitted after that date will NOT be paid.
49		5. Note once again: please send only the single combined PDF of your scanned and numbered receipts, NOT separate receipt image files
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