2:125-E2 Board Member Estimated Expense Approval Form
Submit to the Superintendent, who will include this request in the monthly list of bills presented to the School Board. Use of this form is required by 2:125-E3, Resolution to Regulate Expense Reimbursements. Please print.
Name:
Title/Office:
Travel Destination:
Purpose:
Departure Date:
Return Date:
Estimated Expenses Approval Requested (50 ILCS 150/20)
Purchase Order Requested Purchase Order #:
Expense Advancement Voucher Requested (105 ILCS 5/10-22.32)
Voucher Amount:
| Estimated Expense Report | ||||||||||
| Auto Travel Allowance: per mile | ||||||||||
|
Date |
Mileage
Miles Cost |
Comm. Travel Expense |
Lodging |
Meals
Bkfst Lunch Dinner |
Other
Item Cost |
Daily
Total |
||||
| Total | $ | |||||||||
Submitting Board Member’s Signature :_____________________________________
Date: ___________________
Superintendent Signature:____________________________________
Date: _________________
School Board Action (circle one):
Approved Denied
Approved in Part Exceeds Maximum Allowable Amount
Date Adopted: December 20, 2016
