Please use this form or one similar each time you file for reimbursement or submit a bill.

Project Name ___________________________________________________

Contact Name __________________________________________________

Mailing Address _________________________________________________

_____________________________________________________________

Phone ________________________________________________________

Date _________________________________________________________

Itemized Statement
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
……………………………………………………………$ ________________
Total …………………………………………….………$ ________________

Original receipts and purchase vouchers, etc. are preferred to copies

Travel Advance Procedure - The project director gives information to Cheri Gaddis. The Earlham deadline for check warrants is Friday at noon. Checks are available Wednesday morning. During the trip, please keep all receipts. When the trip is over, submit an accounting of the money spent with the receipts attached to Cheri. If the entire advance was not spent, it is the project director's responsibility to return the remaining money to Cheri.

Send to: Cheri Gaddis, Drawer 141 If you have questions, call 983-1525, or e-mail Cheri.