Executive Board Expense Report


Date:


Name:


Phone:


E-mail:


Address:




Stat/Prov.:                  Postal/Zip Code:                  Country:


Purpose of Trip/Expense:







Item Description US $ Amount Comment Acct. Code
(HQ USE)
Airfare





Hotel/Lodging





Auto Mileage ($US .31/mile)





Ground Transport





Parking





Meals





Misc. & Tips





Other





TOTAL DUE







Expenses must be submitted within 90 days of expenditure, within 30 days at year end. Original receipts must be attached before reimbursement will be made.

Signature:



____________________________________________________________

MAIL TO:
ARLIS/NA, Attention Bonnie James
329 March Road, Suite 232, Box 11
Kanata, Ontario K32K 2E1 Canada