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Please download this form (by clicking File, Download, Excel) and email it to finance@lreda.org.
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Name:
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Position within LREDA:
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Email:
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Phone:
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Make check payable to:
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Street:
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City:
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State/Province:
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ZIP/Postal Code:
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Purpose of Expense:
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Itemized Expenses (please complete a new line for each receipt)
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DATEVENDORDESCRIPTIONCATEGORY (travels, meals, etc.)COSTACCOUNT CODE (treasurer's use only)
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TOTAL$0.00
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Note: Mileage reimbursement for personal car is $0.14/mile. The 14 cents a mile rate was set by Congress.
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Neither LREDA nor the IRS has any control of this. Don't forget to attach receipts! You may
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alternatively list the amount that you actually spent on gas to drive the miles you list.
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SignatureDate
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Approval Signature
Date
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