Page 35 - January 2023 Report
P. 35
Resilience
2023 expense report form
JOHNSON SCHOLARSHIP FOUNDATION EXPENSE REPORT
One N. Clematis Street Suite 307, West Palm Beach, FL 33401
NAME:
FOR PERIOD OF:
PURPOSE:
Please attach all receipts. For meal expenses, indicate guests and purpose for the meal. Use additional pages if necessary
Description
Purpose
Date
Amount
Hotel Accommodations
Meals/Entertainment
Transportation/parking
Miscellaneous
Description
Purpose
Date
Distance
Mileage
0.655
Grand Total General & Mileage Expense
I hereby certify that the expenditures above are for legitimate Foundation business only.
Signed: ___________________________________________________ Date:_______________________
Expenses Approved By: ______________________________________ Date:_______________________
Expenses Approved By: ______________________________________ Date:_______________________
PAID: Date: ________________ EFFECTIVE AS OF JANUARY 1, 2023
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