Expense Voucher

LEAGUE OF WOMEN VOTERS OF Lincoln Lancaster County, Nebraska

EXPENSE VOUCHER

 

SUBMIT RECEIPTS WITH VOUCHER

(List contents and total for each receipt)

Date: ________________

Pay To:  _____________________________

Name: _____________________________________

Address:  _____________________________________________________________

Officer, Director or Committee: ____________________________________________

 

List here: (List all receipts, e.g. postage, printing, stationary, mileage [$.30/mile 2024 rate], etc.)

DateItem/s Purchased and From WhereAmount
 
 
 
 
 
 
Total Amount

 

 

___ I request reimbursement for the total amount

 

___ I request reimbursement for $ ___________ of the total amount

 

___ I am contributing the total amount to LWVLL.

 

Signature of member completing the voucher: __________________________________

Approved by:  ___________________________________________________________

SUBMIT TO THE LWVLL TREASURER:

Jolanda Junge

6911 S. 90th St

Lincoln, NE  68526

(402) 430-8364

For Treasurer’s Use

Date Received: ____________                                        Date Approved: ____________

Date Payment Made:  ___________                                 Check Number: ____________

Charge Budget Account: ____________________________________________________