MH 2017-18 Single Day Staff Travel Conference Request-1-1-17
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SINGLE DAY STAFF TRAVEL/CONFERENCE REQUEST AND EXPENSE REPORT
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Muskegon Heights Public School Academy System
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Effective January 1, 2017
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Fiscal Year
2017-2018
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Conference Information
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Today's dateBuilding
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Position
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Employee
Dates Held
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Conference Title
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Conference Sponsor (Vendor)
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Conference Location (City and State)
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Estimated Expenses
Actual Expenses
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Effective Mileage rate 1/1/2017
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Mileage
Miles @ .535/mile
$ - Mileage
Miles @ .535/mile
$ -
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From
*include Mapquest or Google Map
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Other Travel:
Other Travel
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Registration:prepaid
purchase
need to be
Registration
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(circle one)card
registered
*include PAID receipt OR Confirmation if invoiced
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OtherOther
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Total Estimated Expense
$ -
Total Acutal Expense
$ -
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Prepaid registration requested
Less:
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Date
Vendor #
Prepaid Check
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*Include invoice for vendor
Purchasing Card
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Total Employee Reimbursement
$ -
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Acct #
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$
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Acct #
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$
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Acct #
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$
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Must Match Total Actual Expense
$ -
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Approval for Attendance
Approval For Actual Expense/Reimbursement
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Employee
Date
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Principal/Director
Date
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Principal/Director
Date
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Superintendent
Date
Superintendent
Date
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Business Office Authorization for Payment
Date
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Forms that are incomplete or missing backup will be returned.
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