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BHB EXPENSE REPORT TEMPLATE
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SUBMITTED BY
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NAMEEmail AddressPhone Number
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EXPENSE DETAILS: Anything over $1,000 will need the approval of the Executive Director
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DateDescriptionMisc. ExpenseOffice SuppliesLodgingPer Diem
(# of Days)
Odometer StartOdometer EndMileageMethod of Payment
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06/07/23Spring Meeting in Grand Forks $ - $ - $ 127.50 312,00012,100100Personal Credit Card
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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$ - $ - $ - 0000
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TOTALS $ - $ - $ - 00
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*Completed form must be emailed to the Executive Director at executivedirector@bismarckhockey.com and signed/approved by the Executive Director.
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*DON’T FORGET TO ATTACH ALL RECEIPTS*
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CATEGORYNOTES (IF NEEDED)AMOUNTAPPROVAL
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Misc. Expenses $ - REQUESTED BY SIGNATUREDate
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Office Supplies $ -
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Lodging $ - APPROVED BY EXECUTIVE DIRECTOR MIKAYLA JABLONSKI JAHNER SIGNATUREDate
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Per Diem ($25/Day) $ -
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Mileage ($0.70) $ -
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Total Expenses $ -
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*The IRS periodically changes the per mile reimbursement rate. Current rate for 2025.
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*BHB reimburses $25/day for meals.
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