Expense Reimbursement Claim For

EXPENSE REIMBURSEMENT CLAIM For THQ Officers and Staff this claim is to be approved by your Head of Department, Assistant Head of Department or Cabinet Secretary in accordance with Minute TRA0601 NAME: BUDGET: __________________________ __________________________ GST CODES: C = Current Rate 10% APPROVED ________________________________ PRINT NAME ______________________________ DATE ________________________ TITLE _______________________ Z = Zero Rated 0% I = Input Taxed = 0% N/A = Non Applicable ACCOUNT NO.: _________________________ DATE: _________________ RECEIVED _______________________________ DATE _____________________ ACCOUNT NAME A/C NO. TOTAL COST ($ ) GST AMOUNT($ ) GST CODE TAX INVOICE If no tax invoice is held, and the amount is greater than $75 state reason why no tax YES / NO invoice is held. If amount is less than $75 and no tax invoice is held, please turn over. Maintenance - Offices - Quarters - Plant & Equipment - Computers 18101 18104 18102 18103 20001 20003 20004 25919 Motor Vehicle - Fuel & Oil - Parking & Toll - Repairs & Servicing Meals Travel - Accommodation - Other Subs & Dons - Rotary 26001 26003 28108 28109 28110 28111 28198 28601 28603 28604 25301 25302 25101 17011 Hospitality/Refreshments Postage & Couriers Printing & Stationery Administration - Other Telephone - Office - Mobile - Quarters Training - Officers - Employees Book Bonus Sam Relief Other TOTAL: $0.00 $0.00

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