The Way Church Reimbursement Form

Procedure:
1. Receive permission from Department Head to purchase materials.
2. Purchase materiales
3. Turn in this form and receipt(s)*

*receipts may be turned in to finance office when you complete this form.

Name, Address, Phone #

Description of expense, Date, Dept./Account, Amount Spent

Purpose of Travel, Date, Dept./Account, Total # Miles Driven, Rate per mile $0.140, Total Expense
Note: If not applicable, N/A