THE ANDREW W. MELLON FOUNDATION EXPENSE REPORT
Name Address Dept./Program AIRFARE/ GROUND TRANSPORTATION TRAVEL MEALS (list all HOTEL (room & INCIDENTALS MEMBERSHIPS attendees and applicable (i.e. telephone & /REGISTRATIO affiliations) taxes only) internet) N FEES Activities Included in Report
Date
DETAILS OF EXPENSE ITEM (One line per receipt. For transportation, include from/to and means.)
OTHER
TOTALS -
TOTALS
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Travel Meals Hotel Incidental Membership Other TOTAL
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I certify that this expense report is correct and meets the Foundation's guidelines. Costs incurred were for necessary business expenses for which payment has not been received. Signature ______________________________________________________ Date _________________ I have checked and verified the accuracy of this report and have ascertained that all charges meet policy guidelines and are reasonable. Approval _______________________________________________________ Date _________________ Officer's Approval (if over $1,000)____________________________________ Date _________________