Committee and Program Expense Voucher

Date of Charge:
Amount charged
Charge Card Used:
Vendor Purchased/Ordered from:
Purpose of Expense:
Name on Card:
Charged by:
Method of Item Purchase:
Account Name & Number  
Other Acct Name & #
Receipt:

Signature of Person Submitting Expense:

Date
Verifying Signature
Date

Other Information Related to Charge