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2024
EXPENSE REPORT
North WI District LCMS
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Name
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Address
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City/State
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Check Amount: $
 $
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3103 Seymour Lane Wausau WI 54401
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Purpose of Trip:
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 DateTotals
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Transportation
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Business Miles Traveled
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Mileage Allowance @ $ 0.670
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AirfareTravel
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Auto Rental
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Fuel
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Parking & Tolls
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Taxi
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Tips
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Business Meals
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Breakfast
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Lunch
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Dinner
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Business meals for others
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Lodging
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Lodging
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Telephone
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Other
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Miscellaneous Expenses
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Daily Totals
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Explain-Other/Misc:
 Total Expenses
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Account Office Use - Amounts Description
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RequestedDate:
Special Notes:
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By:
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ApprovedDate:
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By:
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