Eastern Regional Association
Advent Christian General Conference
P.O. Box 1913, Rochester, NH 03866-1913
Telephone (603)332-1412, Fax (603)332-1648
www.aceasternregion.org
EXPENSE FORM
Name_______________________________________________ Date____________________
Address_______________________________________________________________________
Board/Commission______________________________________________________________
Place of Meeting_____________________________________ Date____________________
Mileage______________________ at 48.5c per mile ________________
Tolls* ________________
Meals* ________________
Other*: ________________
________________
________________
Total Expenses $_______________
* Please itemize and furnish receipts whenever possible
For Office Use Only:
Approved by_________
Date Paid____________
Check #_____________
CET 10/05