Expense Reimbursement Report

REQUESTED BY:
PRINT NAME

APPROVED BY:

DATE APPROVED:
SIGNATURE DATE

Program Code

Account Code

Rpt. Code

Donor Code

Dept./Div. Subprog Code Code

Amount

Date

Description (Specify what was purchased and why)

Frequently Used Account Codes:

7310 Supplies and Materials 7315 Computer Equip & Supplies 7320 Postage/Shipping 7350 Printing and Duplication 7360 Membership and Subscriptions 7365 Professional Literature 7370 Telecommunications (Cell Phone) 7610 Local Travel 7620 Non-Local Travel: transportation, lodging, meals, etc. 7640 Registration Fees 7650 Food and Refreshments

FISCAL USE ONLY

Audited by: __________________ Session ID: __________________ Vendor Code: ________________ Distrib. Code: ________________ A/P Initials: __________________ Entry Date: __________________

REPORT TOTAL LESS: PETTY CASH ADVANCED AMT DUE TO EMPLOYEE OR AMT OWED TO PETTY CASH FUND

$ $ $ $

Cash Received by Employee Date

Received by Finance Dept Date

Created July 2011

PERSONAL AUTOMOBILE MILEAGE CALCULATION SHEET (TO BE ATTACHED TO APPROVED EXPENSE REPORT)
REQUESTED BY:
PRINT NAME

DATE REQUESTED:

Date

From:

To:

Purpose:

# of Miles

$0.565 Per Mile

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Tolls/Fares/ Parking
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

TOTAL
-

TOTAL

Created July 2011

New Visions for Public Schools Accounting Codes DEPARTMENT/UNIT Dept 100 200 Unit Name Executive Operations 210 Finance 220 Administration 230 Information Technology 240 Knowledge Management External Affairs 310 Development 320 Communications Charter Policy & Research 520 Data Analysis & Applied Research 550 Teacher Certification 570 EDesign PSO 601 Manhattan/Queens Network 602 Bronx Network 603 Brooklyn/Staten Island Network 640 College & Career Readiness (CCR) 650 EPO-Restart ACCOUNT CODE (selected) Code 7210 7215 7220 7240 7310 7315 7320 7325 7350 7355 7360 7365 7370 7510 7610 7620 7630 7640 7650 7799 Name Consultants General Temporary Help Participation Awards Professional Fees (e.g. legal) Supplies and Materials Computer Equipment & Supplies Postage/Shipping Marketing and Advertising Printing and Duplicating Computer Licenses/Maintenance Contracts Memberships & Subscriptions Professional Literature Telecommunications Grants Local Travel Out-of-Town Travel (transporation, hotel, meals) Facility Fees Registration Fees Food & Refreshments Miscellaneous

300

400 500

600

REPORTING CATEGORY Code 01 10 20 30 40 50 60 Name Grants Personnel Consultants (including Evaluation) Conferences and Meetings Publications Travel (Local and Out-of-Town) Program Resources

PROGRAM Code 13500 14200 15400 20000 21100 41010 41011 41030 41045 41050 41065 41080 41100 41105 41110 41115 90000 90500 Name New Visions Schools Astor Ctr for Publ Schl Libraries Enhancement Grants to Teachers Communications College & Career Readiness PSO Data & Applied Research Knowledge Management Urban Teacher Residency SAM Certification Scholarships Charter Schools EDesign EPO-Restart A2i Common Core Management & General Development

SUBPROGRAM (selected) Code 90DAY C4 CAP1 CLN CRIS CRM RETRT TQI TTT CFG Name 90-Day Project C4-Common Core/College & Career Initiative Capital One Bank CLN CRIS CRM NV Schools Retreat Teacher Quality Initiative Transition to Teaching Critical Friends

DONOR (selected) Code C102 C103

Carnegie Foundation ( BTEN) Centerbridge

Created July 2011