STATEWIDE PARENT ADVOCACY NETWORK

CASH ADVANCE

FOR

TRAVEL EXPENSES

Please note: Receipts to document expenditures and any remaining balance must be submitted within two business days of your return.

PERSON(S) TRAVELING:

DATE(S) OF TRAVEL:

PURPOSE OF TRAVEL:

TRAVEL DESTINATION:

GRANT(S) TO BE CHARGED:

OSERS:	%
PIRC:	%
SCHS:	%
	%
	%
EXPENSES		$ Amount
AIR/PLANE/TRAIN TRAVEL*:		$	Payable to:
MILEAGE:		$	# of miles:
TOLLS:		$
HOTEL*:		$	Payable to:
TRANSFERS:		$
MEALS:		$
OTHER (specify)
		$
		$
		$
TOTAL:		$
CASH ADVANCE AMT.		$	Payable to:
			Address:
		$

· Check payments can be made directly to hotels, travel agents, airlines, railways, etc.

Approved by: ____________________________________

______________PROJECT DIRECTOR/COORDINATOR__________________________

FOR FISCAL USE ONLY:

Date paid: ____________________________ Check # ________________

Executive Director/Associate Director ____________________________________________