El Dorado Union High School District Faculty Association

Expense Record | Check Request

Reimbursement Direct Expenditure Date

Amount $
Membership Engagement Grant Eligible

Mail to Requested by

Issue check to

Category Description Amount

Office Expense/Equip.

Conference & Travel

Membership Promotion

Meeting Expenses

Taxes

Substitute/President's Release

Bargaining

Gifts

Other

Mileage (complete below) $0.00

Total $0.00
Mileage Information
Date Destination Purpose Miles

Total Miles 0
x Rate per Mile $0.58
Mileage Reimbursement $0.00

Please complete this form, attach documents (receipts, bills, etc), and deliver to: Angela Brown, Treasurer
PO Box 1401
Chk # Issue Date Issued By Diamond Springs, CA 95619

EDUHSDFA Expense Record (Revised 9/19)