| Meet: | ||||||||||
| Mileage Rate: | $0.48 | per mile | (set to zero if not driving | |||||||
| Per Diem | $20 | per day | (zero if claiming actual | |||||||
| Date (mm/dd/yy) |
Description of Expense | Miles Driven | x $0.48 | Tolls | Per Diem |
Other Cash |
Other AMEX |
Total | ||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| $0.00 | $0.00 | |||||||||
| Subtotals | 0 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||
| Subtotal | $0.00 | |||||||||
| Additional Expenses* | $0.00 | |||||||||
| AMEX Charges | ($0.00) | |||||||||
| Total Reimbursement | $0.00 | |||||||||
| Coach Signature: | date | |||||||||
| Endorsed by Head Coach: | date | |||||||||
| Approved by Board Member: | date | |||||||||
| *Additional Expenses: | ||||||||||
| Please itemize on separate sheet and attach receipts for all expenses over $25. | ||||||||||