Expense Report -- Reimbursement
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Name:Date Submitted
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Please make a copy of this form and save it to your Google drive or print a copy to fill in manually. Enter the details of the purchase(s) you wish to donate below ON YOUR COPY. Print a copy of the completed form. Attach original invoices or receipts. If you have no documentation, please attach an explanation. Please sign below the form.
If you are not responsible for budgeting for this item, please contact the appropriate officer or department chair (listed below the form) and obtain his/her signature or e-mail with acknowledgement before submitting to the office.
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Expense ItemExpense DateAccount
(Pull-down menu of choices will appear when you click in each cell in this column) Please use only the values listed.
DescriptionAmount
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$0.00
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Additional Authorization Signature (if needed) / Date
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Budget Authority (as of 3/1/2019)
Building - Neil Schulman (building@betheljc.org)
Lifelong Learning - Laura Katzive / Zach Metz (learning@betheljc.org)
Events - Nancy Sambul (fundraising@betheljc.org)
Membership - Raimy Cheyne (membership@betheljc.org)
Office & Administration - Suzanne Goldstein-Smith (suzanne@betheljc.org)
Social Action - Alain Mentha / Mike Noveck (socialaction@betheljc.org)
Religious Practices (including Oneg) - Merrick Brodsky (ritual@betheljc.org)
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OFFICE USE ONLY

Posted by ___________________ Date _____________ Reference____________

Check/Confirm # _____________________ Date Issued _______________

Delivered by ___ Hand ____ Mail ___ Bank Check ___ Other: ______________________________
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