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Committee Expenses
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Mountain & Plains District 5470 Rotary Youth Exchange
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Request Date:
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Reimbursement Event:
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Name:
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Address:
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City, State, Zip:
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Phone:
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Email:
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Date
(mm/dd/yy)		DescriptionTotal
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Airfare
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Gas (travel to RYE activities)*
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Lodging**
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Meals
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Mileage ($0.14/mile)
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Per Diem***
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Postage
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Supplies/Copying/Scanning/Printing
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Miscellaneous
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$0.00
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* We reimburse the greater of mileage or gas receipts
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** Committee is paid 1/2 of room rate unless room-sharing
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*** $50/day for travel over 8 hours when lodging is not needed or provided by MPRYE
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Payment Instructions:
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For faster payment, please scan and email this form and copies of receipts to Kate Wells at kate.wells@kajarin.com
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 If no scanning available, mail paper form and copies (not originals) to:
Mountain and Plains D5470 Rotary Youth Exchange
C/O Kate Wells, Treasurer
234 Garfield Dr.
Grand Junction CO 81503
*This payment method will take longer
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7/7/2026
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