2026 External Expense Voucher

2026 External Expense Voucher
Name

First NameLast Name
Email
example@example.com
Date of Submission

MonthDayYear
Date
Synod Business:
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Travel Cost:
Round trip of blank @ 72.5 cents/mile.
Total: $ blanks
Other Expenses (please itemize):
Total for all expenses listed above: $ blanks
*Please deduct from the amount of my expenses the sum of $ blanks
which I am hereby making as a contribution to the Southeastern Minnesota Synod. (A copy of this voucher will be sent to you for your records.
*Less my contribution $ blanks
Net to be reimbursed: $blanks
Signature

Clear
File Upload

Cancelof
For Synod Use Only:
Account Number: blanks
Memo: blanks
Should be Empty:

Travel Cost: