Fillable Revisedofficialfunctionformfebruary2015 - Revised Official Function Form 02-04-15

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Revisedofficialfunctionformfebruary2015 - Revised Official Function Form 02-04-15

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ArkansasTechUniversity
Russellville,Arkansas
To: VicePresidentforAdministrationandFinance
From:
Date:
Subject: RequestforReimbursement
Reimbursement for meal expenses incurred as an official University host is requested.An original itemized
receipt(s)isattached.Theexpenseswereincurredin(nameoftown)

IndexCode‐Fund‐
Organization‐Account‐ProgramCodeNumbers Amount

IndexCode‐Fund‐Organization‐Account‐ProgramCodeNumbers Amount
JustificationforMealExpense:
ListofParticipants(firstandlastname):

SignatureofRequestorSignatureofDepartmentHead
PrintedNameofRequestorPrintedNameofDepartmentHead
VendorNumberofRequestorSignatureofDean(Ifapplicable)

PrintedNameofDean
ApprovedforPayment:
SignatureofChancellor–OzarkCampus
(requiredforallOzarkCampusemployees)
VicePresidentforAdministrationandFinance
Revised 02/04/2015
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Revisedofficialfunctionformfebruary2015 - Revised Official Function Form 02-04-15

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Completed 24 February 2020

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