Laserfiche WebLink
CITY OF PEQUOT LAKES <br /> EXPENSE REIMBURSEMENT REQUEST <br /> NAME: DEPARTMENT: <br /> DATE (S): DESTINATION: <br /> PURPOSE: CODE: <br /> EXPENSES: <br /> Transportation: <br /> Personal Vehicle: miles @ 48.5 cents/mile= $ <br /> Airfare: $ <br /> Lodging: $ <br /> Other: $ <br /> *Meals: <br /> Please indicate the meals for which you should be reimbursed. <br /> Meals included in the cost of the conference are NOT reimbursable. <br /> Seminar/Conference start date and time: <br /> Seminar/Conference end date and time: <br /> , ,., _ .. ,£, ,.1 <br /> Breakfast <br /> Lunch <br /> Dinner <br /> Incidentals <br /> TOTAL REIMBURSEMENT$ <br /> EMPLOYEE'S SIGNATURE: DATE: <br /> SUPERVISOR'S SIGNATURE: DATE: <br /> *Receipts MUST be attached to the Expense Reimbursement Request. <br /> **Receipts may not be required for meals or incidentals if an overnight stay is required - <br /> (See Travel/Expense Policy) <br />