Kiwanis Club of Findlay  (#K00212)

PO Box 237  ~  Findlay, OH 45839-0237
12 noon Wednesdays  ~  Elks Club Findlay, Ohio

Event Fund Request

Request for Kiwanian:
Event:

Food: 
     Date / per diem: $35/day for
     Date / per diem: $35/day for
     Date / per diem: $35/day for
     Date / per diem: $35/day for
     Date / per diem: $35/day for
     Date / per diem: $35/day for
    Date / per diem: $35/day for
               Total per diem: $

Mileage (44.5 cent/mile in 2006): 
  Date:   ~   Miles: miles
          From:   To:              

  Date:   ~   Miles: miles
          From:   To:
               Total Mileage: miles for event      mileage total:    rate/ 44.5 cents/mile

Parking:
  Date:   ~   Description:     Amount: $
  Date:   ~   Description:     Amount: $
  Date:   ~   Description:     Amount: $
  Date:   ~   Description:     Amount: $
              Total parking: $

Hotel : 
  Date  ~   from: to:      Amount: $
  Date  ~   from: to:      Amount: $
  Date  ~   from: to:      Amount: $
  Date  ~   from: to:      Amount: $
               Total Accommodations: $

Misc. : 
  Date:   ~   Description:     Amount: $
  Date:   ~   Description:     Amount: $
  Date:   ~   Description:     Amount: $
               Total Misc: $

TOTALS: 

   per diem total:  $
   mileage total:  $
   parking total:  $
   hotel total:  $
   misc total:  $

      Event Reimbursement Total: $

Signature of committee chair or authorized person:  ___________________________________

Attach letter of request, invoice or other documentation.  
Send to:
     Kiwanis Club of Findlay, OH
     c/o Treasurer
     PO Box 237  ~  Findlay, OH 45839-0237

www.FindlayKiwanis.com

3/13/2006