FLORIDA UPMA EXPENSE VOUCHER
Pay to the order of: ______________________________________________ . . . . . .Date:_________/___/______
Street Address: _________________________________________________
. . . . . .Purpose:
City, State, ZIP: _________________________________________________
Telephone Number: (_____)___________________________________
_____ . . . . . .Mileage Rate: 0.545
Travel Dates . . . . . .
Mileage #-Privately Owned (POV) . . . . . .
Hotel / Lodging . . . . . .
EXPENSES LISTED BELOW . . . . . .
Airfare/Public transportation (Add Baggage Costs) . . . . . .
Cab/Airport Shuttle . . . . . .
Car Rental . . . . . .
Fuel - Car Rental only . . . . . .
Registration . . . . . .
Per Diem $50 per day
less $12.50 for each UPMA provided Meal
. . . . . .
Fill in expense as needed . . . . . .
Fill in expense as needed . . . . . .
Totals Include Mileage Amount . . . . . .

Instructions - Read Carefully
A. Receipted hotel bills and all public transportation vouchers must be attached to this voucher
B. Expense items must be clearly and correctly identified and must represent monies actually expended on official business
on behalf of the Association
C. When credit cards are used, receipts are to be attached to this voucher.
D. Other expenses must be detailed on the reverse side.
E. Per Diem: The amount is payable at a rate of $50.00 per day.
A deduction of $12.50 should be made for each meal provided by the National office or officer at no expense to the traveler.
* Hotel tips, shuttle tips, bellman tips, and room tips are part of the daily per diem.
F. Vouchers over 60 days must have explanation for tardiness attached and Submitted through the Executive Director to the Executive Committee for approval.
Vouchers over one year old will be denied.


_________________________________________________
Signature of payee


_________________________________________________
FLORIDA EXECUTIVE VICE PRESIDENT



_______________________________________________________
FLORIDA TREASURER
Certified correct in the amount of _________________
This voucher must be submitted directly to the UPMA office within 60 days
Send completed form to:
FL UPMA EXECUTIVE VICE PRESIDENT
12904 ASTORWOOD PLACE
RIVERVIEW, FL 33579