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| EXPENSES AND ACTIVITIES REPORT FORM |
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For UNIFOR Officers and Staff |
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| Fund |
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| Region |
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WEEK STARTING |
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Dept. |
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WEEK ENDING |
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expenses |
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| Account | Weekly Totals |
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| Cash | credit card |
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Accommodations | Cash |
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| 6500
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| credit card |
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| 6500
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Per Diem | Cash |
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| 6505
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Transportation | Cash |
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| 6510
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Tickets | credit card |
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| 6510
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| 0.00
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Gas & oil | Cash |
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| 6520
| 0.00
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| credit card |
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| 6520
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| 0.00
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Vehicle Repairs | Cash |
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| 6525
| 0.00
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| credit card |
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| 6525
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| 0.00
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407 and | Cash |
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| 6557
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other toll charges | credit card |
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| 6557
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| 0.00
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Parking | Cash |
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| 6540
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| credit card |
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| 6540
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| 0.00
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Mileage | Cash |
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| 6545
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Taxi, and ground | Cash |
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| 6550
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Transportation | credit card |
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| 6550
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| 0.00
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Car Rental & | Cash |
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| 6565
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Rental Car Gas | credit card |
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| 6565
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| 0.00
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Cellullar | Cash |
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| 6570
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| credit card |
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| 6570
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Telephone | Cash |
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| 7500
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| credit card |
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| 7500
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Items to bill to | Cash |
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| 0.00
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other accounts | credit card |
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| 0.00
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| Please put appropriate items paid by personal credit |
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Odometer reading Jan.1st |
| cards in cash column and attach receipts for |
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| Totals |
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| everything except per diem |
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Odometer reading current |
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LOCATION, ACTIVITY & EXPLANATION |
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| Business | Personal |
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I declare that the amounts shown on this form were incurred by myself on behalf of Unifor. |
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| Total | 0
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(signature)
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| Date:
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Approved (signature)
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| Date:
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| Cheque # |
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