2023d ABC Board Minutes - Laserfiche WebLink

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i ORANGE COUNTY ABC BOARD TRAVEL REIMBURSEMENT REQUEST AND EXPENSE REPORT REQUEST I REPORT SECTION Name of Requestor: Jennifer Title: manager Date of Request: i Important-attach all applicable receipts and/or invoices to this report Sun Mon Tues Wed Thurs Fri Sat Totals Dates Traveled Lodging incltaxes) $ ..._ Fares,Air, Bus, etc To/From Destination Mileage-personal vehicle (per below) Meals: Breakfast Incl. Lunch Tips Dinner Flat Rate Taxi, Bus, Rental Registration Fees Conference Exp 1 Telephone Baggage Handling Other Expenses Totals Comments: Ex lanation of personal vehicle expenses: Mileage Date From (location) To (location) Claimed $Amount carrboro first horrizon EXPENSE SUMMARY Total cost of trip per above Less: expenses prepaid by Board Less: cash advanced Add (Deduct) other adjustments- Explain Balance Due- Board or Requestor(Circle One) I hereby certify that the foregoing travel expenses were incurred in the conduct of Board business. Signature of requestor: Date: APPROVAL 1 REVIEW/PAYMENT SECTION Approved by Board Chair: Date: Reviewed & approved for payment by GM: Date: "A completed Travel Reimbursement and Expense Report form should be submitted within 14 work days after returning from travel (OCABC Board Policy& Procedure Manual). OCABC Board Form 002, October 21, 2003 (Prior forms are superseded) Article III, Appendix B -OCABC Board Form 002 -Travel Reimbursement Request I III -7 I I