AUFA

Expense Claim Form

DATES: From ___________________________________To ________________________

EVENT: _________________________________________

Day	Fare From:____________ To: ____________ From:____________ To: ____________	Parking		Taxis	Hotels		Auto@ 52.5¢ km	Breakfast $10.00/day		Lunch $15.00/day		Dinner $35.00/day		Sundries $15.00/day
	RECEIPTS REQUIRED						NO RECEIPTS REQUIRED
Mon. ______
Tues. ______
Wed. ______
Thurs. ______
Fri. _____
Sat. _____
Sun. _____
	$	$	$			$	$	$	$		$		$
TOTAL of All Columns: $ __________________
LESS Cash Advance Received: $ __________________
LESS Ticket prepaid: $ __________________
TOTAL Claim on this Voucher: $ __________________

SIGNATURE: ____________________________________ DATE: _________________

NAME: ____________________________________ DEPARTMENT: ______________

Please return this claim and attached receipts to the Treasurer of AUFA.