Littleton Public Schools Exhibit

Policy Code    BIBA-E-2 Policy Name     Board Member Conferences,                                  Conventions, and Workshops Adoption             October 9, 2008 Revised

TRAVEL EXPENSE SUMMARY

Littleton Public Schools

Name: ___________________________________         Date: _______________________________

Travel To: ________________________________         Dates: ______________________________

Reason: ___________________________________________________________________________

NOTE:  RECEIPTS ARE REQUIRED FOR ALL EXPENDITURES EXCEPT MEALS; CERTIFICATION MUST BE ATTACHED FOR ALL NONRECEIPTED EXPENSES.

Mileage: _______________ @ $._____ per mile                                                            $_____________

Air, Rail, Bus                                                                                                   $_____________

Car Rental                                                                                                        $_____________

(Must be pre-approved by Superintendent)

Registration                                                                                                      $_____________

Meeting Materials                                                                                             $_____________

Meals                                                                                                               $_____________

Lodging                                                                                                            $_____________

Taxi, Shuttle Bus, Fuel or Rental Car, Parking                                                   $_____________

Baggage Handling, Gratuities                                                                            $_____________

Miscellaneous: ______________________________           ______________________________

SUBTOTAL                                                                                                     $_____________

Less District Advance (Check Number ____________)                                      $_____________

Less District Credit Card Charges                                                                      $_____________

Less District Prepaid Costs                                                                                $_____________

Less Personal Expenditures                                                                               $_____________

Amount Due District (Attach Payment)                                                              $_____________

Amount Due Board Member (Attach Check Request)                                         $_____________

Signed: ____________________________________      Date: _________________________

Approved: _________________________________       Dates: ________________________

Account Number: ___________________________