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AFS-USA, Inc.

EXPENSE REPORT
NAME ID No. (If Known) TYPE
ADDRESS FROM (MM/DD/YY) TO (MM/DD/YY) STAFF
CITY,STATE,ZIP VOLUNTEER

TYPE AND PURPOSE ACCOUNTING CODES


DATE/S OF TRIP OR AUTO COST PRODUCT/
(MM/DD/YY) EXPENDITURE MILES AMOUNT OBJECT ID CENTER PROJ PROGRAM

TOTAL EXPENDITURES -
PLEASE SEE REVERSE TOTAL OF ADVANCE/S
SIDE FOR EXPENSE AMOUNT DUE TO AFS, OR - NAME SIGNATURE
REPORT PROCEDURES AMOUNT DUE FROM AFS -

APPROVED SIGNATURE
MAIL COMPLETED FORMS AND SUPPORTING DOCUMENTATION TO James Spears, 328 NE Davis Street, McMinnville, OR 97128
F - ER (11/96)
CHECK

SITE

DATE

DATE
7128

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