Fillable Revisedofficialfunctionformnovember2014

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Revisedofficialfunctionformnovember2014

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Arkansas Tech University
Russellville, Arkansas
To: Vice President for Administration and Finance
From:
Date:
Subject: Request for Reimbursement
Reimbursement for meal expenses incurred as an official University host is requested. An original itemized
receipt(s) is attached. The expenses were incurred in (name of town)
Index Code-Fund-Organization-Account-Program Code Numbers Amount
Index Code- Fund-Organization-Account-Program Code Numbers Amount
Justification for Meal Expense:
List of Participants (first and last name):
Signature of Requestor Signature of Department Head
Printed Name of Requestor Printed Name of Department Head
Vendor Number of Requestor Signature of Dean (If applicable)
Printed Name of Dean
Approved for Payment:
Vice President for Administration and Finance
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Revisedofficialfunctionformnovember2014

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Completed 24 February 2020

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