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General Expense Form
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Submitted By: Department: Date:
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Make Check Payable To:Employee ID:
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Address:
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Employee Email Address: @k12albemarle.org
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DATE
REASON FOR EXPENSE
MATERIALS
MEALSTRAVELMILEAGE
LODGING
OTHERTOTAL
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$ -
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$ -
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$ -
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$ -
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$ -
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$ -
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$ -
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$ -
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$ -
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$ -
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TOTAL ALL PAGES:
$ - $ - $ - $ - $ - $ - $ -
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Taxes paid are not reimbursable by Albemarle County. Enter the pre-tax costs from your receipts on this form.
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Account DistributionBalancesAPPROVALS:
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Budget Code / Account AmountCash Advance$
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Credit Card$__________________________
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Total Advance$Director / Designee
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Total Expense $
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Reimbursement $ - __________________________
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$0.00Due County$Assistant Superintendent / Superintendent
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__________________________
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Fiscal Services Director
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