ABCDEFGHIJLMNOPQRSTUVWXYZ
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Voucher forD73
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Reimbursement
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Date of request:DD/MM/YYBeneficiary Name:
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Full name and TM Role:Email:
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Club Name and Number:
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Mailing Address:Bank BSB:
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Account Number:
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Bank Name:
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Bank Address
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1. Complete this form and leave in Excel format - DO NOT SCAN TO PDF.
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2. Attach organized scanned receipts preferably in PDF format. Each receipt should be entered on a separate line noting the corresponding line number on the receipt.
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3. Email to Finance Manager at finance@d73toastmasters.org and cc District Director on dd@d73toastmasters.org
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4. Receipts submitted more than 60 days from the date of the expense may be considered unreimbursable.
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Expenditure above the budgeted amount must be approved by the District Director or Finance Manager prior to purchase
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Month of ExpenseAmountExpense Description
(If travel, indicate km and rate used in calculation)		Treasurer's Use Only
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LineCurrencyAccount Label Reporting CodeEvent Period
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Approvals
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District Director:Vijay Sha
Signature: ...............................................................................
Date:
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Program Quality Director:
Brett Kenny
Signature: ...............................................................................
 Date:
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Finance Manager:
Kanchana Siriwardene
Signature: ...............................................................................
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Claim Number:
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