ABCDJKLMNOPQRSTUVWX
1
2
3
The Minnesota Assembly
4
Ordinary Operating Expense Form for Committees
5
6
7
Directions: Submit this form to the Treasury promptly and as needed for payment or reimbursement. Attach all invoices, receipts and related paperwork in submission of this form.
8
9
Submitted for (check one box): □ Payment by The Minnesota Assembly.
10
□ Reimbursement to (print): ___________________________________ for approved expense.
11
12
14
15
Assembly Name (print): _____________________________________ Committee Chair (print): ___________________________________________
16
17
Committee Name (print): ____________________________________ Committee Chair (autograph): ______________________________________
18
19
Date of ExpenseDescriptionQuantityPriceTotal
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
(STOP HERE) (STOP HERE)(STOP HERE)
48
Treasury Notes:Total:
49
50
□ Approved □ Not Approved and Reason:
51
52
53
Approval Name (print): ______________________________________________________________________
54
Approval Autograph: ________________________________________________________________________
55
Position/Office (print): _______________________________________________________________________
56
57
 Form #200
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101