State of Florida
|State of Florida |Payee (Typed) ___________________________________________ |Headquarters __________________________ |P.O. # _______________________ |
| | | | |
| |Address ___________________________________________ | | V # _______________________ |
|Voucher for Reimbursement | | | |
|of Traveling Expenses | ___________________________________________ | | |
|x out of state | |Travel Performed from Point of|Purpose of |Hour of Departure and |
| | |Origin to Destination |Reason |Hour of Return |
| |Date | |(Name of | |
| | | |Conference) | |
|Payee Signature ____________________________________________________________________________________ Less Class C Meals $ -________________ |
| |
|Date Prepared _________________________ |Title ___________________________________________________ Total Expenses Claimed $_________________ |
|Supervisor Signature _________________________________________ |Date ________________ |Fund |Function |Object |Cost Center |Project |Amount |
| | | | | | | | |
|Superintendent Signature ______________________________________ |Date ________________ | | | | | | |
| | | | | | | | |
O-FI-05
Rev 07/12/11
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