A | B | C | D | E | F | G | |
---|---|---|---|---|---|---|---|
1 | Expense Claim | ||||||
2 | |||||||
3 | Name: | Expense Period | |||||
4 | Role/Team: | From: | |||||
5 | To: | ||||||
6 | Producer/Director: | N/A | |||||
7 | |||||||
8 | |||||||
9 | Purpose (i.e. show name, event, etc...): | ||||||
10 | |||||||
11 | |||||||
12 | |||||||
13 | Itemized Expenses | [42] | |||||
14 | DATE | DESCRIPTION | KM | Mileage | CATEGORY | COST | |
15 | N/A | ||||||
16 | N/A | ||||||
17 | N/A | ||||||
18 | N/A | ||||||
19 | N/A | ||||||
20 | N/A | ||||||
21 | N/A | ||||||
22 | N/A | ||||||
23 | N/A | ||||||
24 | N/A | ||||||
25 | N/A | ||||||
26 | N/A | ||||||
27 | N/A | ||||||
28 | N/A | ||||||
29 | SUBTOTAL | $0.00 | |||||
30 | Note: Mileage reinbursement for personal car = $0.61/km | Less Cash Advance | |||||
31 | I prefer an etransfer - Fee $2 | TOTAL REIMBURSEMENT | $0.00 | ||||
32 | Don't forget to attach receipts! | ||||||
33 | |||||||
34 | Request Date | Producer/President Signature | |||||
35 | |||||||
36 | |||||||
37 | Approval Date | Reimbursement Send/Date | |||||
38 | |||||||
39 |