MH 2019-20 Single Day Staff Local Conference Request

	A	B	C	D	F	H	I	J	L	M
1	SINGLE DAY STAFF LOCAL CONFERENCE REQUEST AND EXPENSE REPORT
2	Muskegon Heights Public School Academy System
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4				Fiscal Year	2020-2021
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6	Conference Information
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8	Today's date				Building
9					Position
10	Employee				Dates Held
11	Conference Title
12	Conference Sponsor (Vendor)
13	Conference Location (City and State)
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15	Estimated Expenses					Actual Expenses
16	Effective Mileage rate 1/1/2021
17	Mileage		Miles @ .56/mile		$ -	Mileage		Miles @ .56/mile		$ -
18		From				*include Mapquest or Google Map
19	Other Travel:	parking				Other Travel
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21	Registration:	prepaid	purchase	need to be		Registration
22	(circle one)		card	registered		*include PAID receipt OR Confirmation if invoiced
23	Other					Other
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27	Total Estimated Expense				$ -	Total Acutal Expense				$ -
28	Prepaid registration requested						Less:
29	Date		Vendor #				Prepaid Check
30	*Include invoice for vendor						Purchasing Card
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32						Total Employee Reimbursement				$ -
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34						Acct #
35									$
36						Acct #
37									$
38						Acct #
39									$
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41						Must Match Total Actual Expense				$ -
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43	Approval for Attendance					Approval For Actual Expense/Reimbursement
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45						Employee				Date
46	Principal/Director				Date
47						Principal/Director				Date
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49	Superintendent				Date	Superintendent				Date
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51						Business Office Authorization for Payment				Date
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53	Forms that are incomplete or missing backup will be returned.
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