"Reimbursement Voucher for Expenses Other Than Travel" - Florida

Reimbursement Voucher for Expenses Other Than Travel is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on January 1, 2007;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download "Reimbursement Voucher for Expenses Other Than Travel" - Florida

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DEPARTMENT OF JUVENILE JUSTICE
REIMBURSEMENT VOUCHER
For Expenses Other Than Travel
Pay To:
Org. Code/E.O.
HQ Address:
People First ID#
Date:
Circuit:
Receipts for all items $1.00 and over must accompany this Voucher
DATE
ITEM
PURPOSE
AMOUNT
$0.00
TOTAL
I do solemnly swear (or affirm) that the amounts, scheduled above are just and true in all respects and were expended by the
Individual named for state purposes and the reimbursement has not been received.
Requestor's Signature:
Supervisor's Signature:
Title:
Title:
Telephone:
Date:
Telephone:
Revised 1/07
Save As
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DEPARTMENT OF JUVENILE JUSTICE
REIMBURSEMENT VOUCHER
For Expenses Other Than Travel
Pay To:
Org. Code/E.O.
HQ Address:
People First ID#
Date:
Circuit:
Receipts for all items $1.00 and over must accompany this Voucher
DATE
ITEM
PURPOSE
AMOUNT
$0.00
TOTAL
I do solemnly swear (or affirm) that the amounts, scheduled above are just and true in all respects and were expended by the
Individual named for state purposes and the reimbursement has not been received.
Requestor's Signature:
Supervisor's Signature:
Title:
Title:
Telephone:
Date:
Telephone:
Revised 1/07
Save As
Reset/Clear Form