TO:                  TREASURER OF THE NATIONAL ASSOCIATION

                        OF CONGREGATIONAL CHRISTIAN CHURCHES         

 

FROM:            _________________________________                              DATE: ________________

                        Name

                        _________________________________

                        Address

                        _________________________________

                        City                        State          Zip

 

Name of Commission/Committee/Division _____________________________________________

Describe meeting or activity, including date,  at which these expenses were incurred: ____________

________________________________________________________________________________

 

TRAVEL --  From:  _______________________                  To:  ____________________________

 

 CAR:              ($.14 per mile)  Miles ____________                                      $                                             

(If driving, mileage, lodging and meal reimbursement 

                        amount must be less than air coach rates)

 

OTHER TRANSPORTATION:  (Not to exceed air coach rates)                                 $                        

(copy of passenger receipt or itinerary with cost of ticket – must be attached

 if purchased at other than Oak Creek Travel)

 

MEALS:  (Receipts must be attached)                                                              $                         

 

ROOM: (Receipts must be attached)                                                                            $                          

 

POSTAGE: (Receipts must be attached)                                                                       $                         

 

PHONE:  (Copies of bill or itemized list must be included)                                             $                         

 

MISCELLANEOUS:  (Itemized -- with receipts -- from reverse side)               $                                                  

 

                                                                        SUBTOTAL                                        $                                

DEDUCT:

            Costs not chargeable to NA                                                                              (                          )

      **  Gift to NA                                                                                                        (                          )

 

                                                                        TOTAL                                                $                         

 

NOTE:            Expense reports must be submitted to NA Office   ____________________

 within 30 days to be eligible                                     Approval of Chairman   

 for reimbursement.                                                                                                                                                                                                                      NA OFFICE ONLY

                                                                                                                        Appr. ______________

**A copy of this voucher will be returned to you                                               Acct.  ______________

     for your tax records.                                                                                              ______________

                                                                                                                                  ______________

                                                                                                                        Date _______________

                                                                                                       MEALS                                 

                         DATE ROOM                        BREAKFAST  LUNCH           DINNER

 

SUNDAY        _____              ___________             _____________          _________      _____________

 

MONDAY      _____              ___________              _____________          _________      _____________

 

TUESDAY      _____              ___________              _____________          _________      _____________

 

WEDNESDAY____                ___________              _____________          _________      _____________

 

THURSDAY   _____              ___________              _____________          _________      _____________

 

FRIDAY          _____              ___________              _____________          _________      ____________

 

SATURDAY   _____              ___________              _____________          _________      ____________

 

Total    room                $                                                          Total  meals                  $                     

 

 

 

 

 

 

MISCELLANEOUS

 

                                                                                                                      OTHER                    

                                    TAXI-                          TOLLS                 DESCRIP.                     AMOUNT

                        LIMOSINE

 

SUNDAY                    ___________              ________        ______________        _______________

 

MONDAY                  ___________              ________        ______________        _______________

 

TUESDAY                  ___________              ________        ______________        _______________

 

WEDNESDAY            ___________              ________        ______________        _______________

 

THURSDAY               ___________              ________        ______________        _______________

 

FRIDAY                      ___________              ________        ______________        _______________

 

SATURDAY               ___________              ________        ______________        _______________

 

 

SUBTOTALS              ___________              ________        ______________        _______________

 

                                                                                                            TOTAL            $