claim form honoraria/expense elected … · 2017-06-27 · board honoraria/expense claim form scyd...
TRANSCRIPT
ELECTED OFFICIALS/BOARD - HONORARIA/EXPENSE - CLAIM FORM
4L MONTH ENDED: Z / APPROVED BY:
TIME COUNCIL ADMIN CONVENT. fIARB/j MPC DAB OTHER KMS MEALS_______ HOTEL OTHERCAT DETAIl S I ARBB L D $AMT1—
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) CJrn 11
Communication Allowance/month7500
Preparation/Rate Payers Concerns x 2 Wmonth I7OTAL /12
_____
kmsx.5O= &C__TQZA:FEs.Qt4
TOTAL EXPENSES K2,A7c ?AHPZED 2NCOUNTYBUSINESS,WATEACHITEMGNEN ISCORRECLANDTHATAMOUNTSCLAIMED HAVENOTPREVIOUSLYBE[NPAIDTOMEORON MY BEHALF.
SG\A.RE DATE:
Payroll
,‘‘ ?,,/7 TOTAL CLAIM:-7-
Board hoe orarla/Ixpeilse Clan Form
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recycrlfjla[ he wsoe of the eq,end[ure Wds ncu’ed on Crusty hseesc tflateach:em gJe S usc tu ns mr—er ‘see not pr.vn5y 0$!’. pauS toejePT O en? 5: “5-.
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ELECTED OFFICIALS/BOARD - HONORARIA/EXPENSE - CLAM FORM
MONTH ENDED:M C’ 1/ don APPROVED BV:_
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TOTAL HOtP-PI HEREBY - z — — - - - S ‘SrvESS THAT EACH ITEM GIVEN IS C”2-E0 D T C.. C_’’ CD rU”E NOT PREVIOLSL” BEEN P4IL -
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floard Konoraria/Ixponso Cairn Form
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Approved by
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Board Honoraria/Expense Claim FormScyd Name
__
‘IMonth Ended &Cf 7
Name 5J i OApproved by:
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I e-.oy :r v tnat tlv. .+ole ot tnt p.n4iwm na irrred on Cor.t b% ass tIE Cr ten g:on Is Cotrea, and tret arnocjnts dasmed have not pTe’4oosI been paid to meor ot fly behaf.
TOTAL CLAIM AMT;
Total ExpensesTotal Mileage
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___________
‘t5. €____
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Date:
Signature.