Credit Card Receipt Upload
Name
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First Name
Last Name
Email
*
example@example.com
CAPID
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Phone Number
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FORMAT: 000-000-0000
Credit Card Assigned to:
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Please Select
NCR-NE-001 Nebraska Wing
NCR-NE-002 General Curtis Lemay Offutt
NCR-NE-004 Columbus
NCR-NE-010 Fremont
NCR-NE-019 Omaha
NCR-NE-056 Pine Ridge
NCR-NE-058 155th
NCR-NE-068 Capital City
NCR-NE-073 Sandhills
NCR-NE-089 99th Pursuit
NCR-NE-093 Lee Bird
NCR-NE-094 Tri-Cities
NCR-NE-800 Burke High School
NCR-NE-999 Nebraska State Legislative
OTHER
Last 4 digits of credit card
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Brief Description of Expense
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Budget Expense
List office symbol of who's budget this is coming from, if known. For missions, enter who the mission is being paid for.
State Appropriations
*
Please Select
Yes
I think so
No
I don't think so
I have no idea
Is this eligible for state appropriations reimbursement?
Bill to the following unit's account
*
Please Select
NCR-NE-001 Nebraska Wing
NCR-NE-002 General Curtis Lemay Offutt
NCR-NE-004 Columbus
NCR-NE-010 Fremont
NCR-NE-019 Omaha
NCR-NE-056 Pine Ridge
NCR-NE-058 155th
NCR-NE-068 Capital City
NCR-NE-073 Sandhills
NCR-NE-089 99th Pursuit
NCR-NE-093 Lee Bird
NCR-NE-094 Tri-Cities
NCR-NE-800 Burke High School
NCR-NE-999 Nebraska State
State Appropriations
Mission Reimbursed Expense
Select "Mission Reimbursed Expense" if applicable
Account Number
*
Please Select
7120000 Awards
7135000 Scholarships
7696000 Vehicle Fuel (COV)
7696000 Vehicle Fuel (POV)
7700100 Supplies (Office, etc)
7701000 Cost of Supplies (resold to members)
7810000 Telephone and Communication
7813000 Internet Fees
7900000 Postage, Shipping, PO Box Rental
8010000 Rent (Use of facilities)
8015000 Utilities
8120000 Vehicle Maintenance (COV Only-NO FUEL)
8230000 Dues & Publication
8312000 Travel (Only Authorized Travel)
8475030 Drug Demand Reduction (DDR)
8475070 Unit Activities (Other Cadet Activities)
8476010 Senior Activities
8480010 Combined Senior/Cadet Activities
8540000 Unit Expenses (Awards Banquets/Dining)
9241000 Advertising
9306110 Fund Raising Expenses (Including WAA)
9401010 Membership Dues
9520010 Proficiency Flying (Unit pays for Maint fee)
9520050 Expenses with Wing (Conference/Encampment Fees)
All receipts MUST be paid for same account number. If there are receipts for multiple account numbers, you need to complete multiple forms.
Receipt 1 Vendor Name
*
Enter name of the vendor on the receipt
Receipt 1 Amount
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Receipt 2 Vendor Name
Enter name of the vendor on the receipt
Receipt 2 Amount
Receipt 3 Vendor Name
Enter name of the vendor on the receipt
Receipt 3 Amount
Receipt 4 Vendor Name
Enter name of the vendor on the receipt
Receipt 4 Amount
Receipt 5 Vendor Name
Enter name of the vendor on the receipt
Receipt 5 Amount
Receipt Total
Additional Information
Approval: Only needed if you are an approval authority for the purchase
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I approve of this purchase. It falls within my authorized approval limit IAW my unit's CAPF 172
This purchase was approved by unit finance committee. Minutes already submitted to Wing Administrator.
This purchase was approved by unit finance committee. Minutes are attached to this upload.
This is a recurring expense already authorized on my units CAPF 172
I do not have the authority to approve this purchase.
I do not approve of this purchase.
I cannot approve this due to personal reasons
This is a Mission related expense and Form 108 has been /will be completed.
Other documentation approving expense will be uploaded with receipt(s)
Not applicable to me
Signature (Required for finance committee members approving purchases)
Please upload your Receipt. You may upload up to five receipts at the same time. You can only upload up to 30 mb per submission.
*
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