COALINGA HURON UNIFIED SCHOOL DISTRICT EXPENSE CLAIM FOR THE by pluggtwo

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									                                             COALINGA-HURON UNIFIED SCHOOL DISTRICT
                                       EXPENSE CLAIM FOR THE MONTH OF __________________, 20____

Employee:__________________________________                                                         School or Department______________________
                                                                                                       MEALS* (CHECK MEALS FOR WHICH PER DIEM IS REQUESTED)
Date       Name of           Started From / TIME       Arrived At / TIME       Miles      Mileage      B*    L*     D*      Hotel/Motel   Auto      Reg. &
           Conference/       (City/Town)               (City/Town)            Traveled    Expense**                                       Parking   Misc.
           Workshop
                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

                                                                                          $0.00

Total                                                                         0           $0.00        $0.00 $0.00 $0.00 $0.00            $0.00      $0.00
                                                                                                              GRAND TOTAL $__________________
                                                                                                                            0.00


Approved:_________________________                             __________________________                             ____________________________
          Chief Business Official                                 Employee Signature                                  Approved Principal or Designee

Approved:_________________________                     Approved:_____________________              *Breakfast       12.00
                                                                                                                  12.00        **Mileage is $.55 per mile
                                                                                                                                              0.55
            Superintendent                                      Asst. Supt. of Instruction         *Lunch          15.00
                                                                                                                  15.00
                                                                                                   *Dinner          25.00
                                                                                                                  25.00
Charge Acct. #___________________________________                      * Workshop/Conference per diem will be paid in accordance with the above schedule.
                                                                       * If meals are included in Workshop/Conference fees, reimbursements will not be paid.
Itemized receipts are required for all materials or hotel/motel fees to be reimbursed.                                                    Print     Reset
A registration form, conference/workshop flier or e-mailed notification of a meeting, which includes specific location, dates and times, is required for all out
of district expenses.
Revised 1/15/2009

								
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