TRAVEL, MEAL, AND LODGING EXPENSE REIMBURSEMENT FORM
Name of Official or Employee: | |
Title/Position of Official or Employee: | |
Name and Date of the Activity/Event: | |
Check Number: (if applicable) | |
Credit Card Receipt Number: (if applicable) | |
Description of the purpose of the expense: | |
Reimbursement Expense (estimated costs or actual costs with receipts, if applicable) | |
Mileage: | |
Meals: | |
Parking: | |
Hotel/Lodging: | |
Car: | |
Airfare: | |
Other Transportation: (bus, train, taxi, shuttle, etc.) | |
Employee’s/Officer’s Signature and Date: | |
Village Authorization and Date: | |
(Ord. 89-09, passed 4-12-89; Am. Ord. 2017-004, passed 4-19-17)