INVOICE
Invoice Date:
Invoice #

Bermuda Civil Aviation Authority
P.O. Box GE 218
St. George’s G
E BX Bermuda
Inspection Date: Location: Name of Operator:
Inspection Type
Prefix: Reg Mark:
S/N:
AC
category:
Air Travel Details
Airfare BCAA Concur booking #
Amount $
Expenses Breakdown OANDA

Total 3D\DEOH 
Wire Transfer Details
Bank Name:
Account Name͗
Account/IBAN #:
/^ǁŝĨƚŽĚĞ͗ZŽƵƚŝŶŐη
Departure Date
Departure from
Ticket Class
Return Date
Destination
Inspection Cost
Qty/Days
Curr Amount
Total USD
Inspection Days/Hours
USD
Travel Days
USD
Meals ƌĞĂŬĨĂƐƚ>ƵŶĐŚŝŶŶĞƌ
Docs Review Day/Hours
Inspection Related E xpenses
Airfare
Accommodation
Ground transportation Taxi/Shuttle/Rental/Rail/ Car Etc.
Ground transport personal vehicle
km
mi mi
km
Other: Visa/
Multi-Currency Calculation click Here ƵƌƌĞŶĐLJWĂLJĂďůĞ
Remarks: ([5DWH
BILL TO:
DAI Name:
Company Name:
Address:
Phone # :
Secondary Inspection
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0.00
0.00
0.00
0.00
0
0.00
0
0.00
0
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0.00
0.00
0.00
0.00
1.0000
0.00
0.00
1.0000
0.00
0.00
1.0000
0.00
1.15
$ 0.00
0.00
0.00
0.71
0.00
1.0000
0.00
USD
$ 0.00
1.0000
0.00
SUBMIT
BCAA Expense Rebill Customer Form
Registration:
S/N:
A/C
Type:
Total:
Bill To:
Inspection Type:
Inspection By:
Inspection Date:
Inspection Location:
Reference Document:
Airfare
Accommodation
Meals
Ground Transport
Other
Inspection Days
Extra Days Billed
X
Docs Review
THIS PAGE FOR BCAA USE ONLY
Administration fee
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Select
Select
0.00
0.00
0.00
$ 1,600.00
$ 0.00
0.00
0.00
$ 0.00
0.00
$ 0.00