The Florida Council of Chapters of The Retired Officers
Association (MOAAFL)
(form available at www.MOAAfl.org/expense/index.htm)
REQUEST FOR REIMBURSEMENT FORM
| OPERATING | CONVENTION | PREPAID MOAAFL | |
| General Operations, Fees | $ | $ | $ |
| Postage (General) | $ | $ | $ |
| Postage (Newsletter) | $ | $ | $ |
| Printing (General) | $ | $ | $ |
| Printing (Newsletter) | $ | $ | $ |
| Supplies | $ | $ | $ |
| Telephone | $ | $ | $ |
| Travel, President, VP, AVP | $ | $ | $ |
| Travel, Board, Committees | $ | $ | $ |
| State Vets Plan Group | $ | $ | $ |
| Other | $ | $ | $ |
| Mileage ____ miles | $ | $ | $ |
| SUB TOTAL | (1) $ | 2) $ | (3) $ |
TOTAL EXPENSE $__________ Sub Total (1) + (2)
LESS AMOUNT PREPAID BY MOAAFL $__________ Sub Total (3)
AMOUNT TO BE REIMBURSED TO YOU $__________ (1) plus (2) minus (3)
Remarks:
I certify that the above listed expenses and prepayments are accurate and incurred as a result of my official activity on behalf of the Florida Council of Chapters.
Signature ______________________________ Date _________
Note:
1. Please attach copies of receipts to this form. Travel reimbursement will be in accordance with "The Blue Book," Section IV, Council Administration and Activities, page 11, dated 01/01 as amended."
2. Prepaid by MOAAFL are typically by MOAAFL VISA, MOAAFL Check to Payee or MOAAFL Expense Advance Check to you.
3. Mail to:
| MAJ Louis L. Share, AUS (Ret) | ((P) (352) 873-0969 |
| 5210 SW 89th Pl | (F) |
| Ocala FL 34476-3867 | (E) louisshare@aol.com |