ࡱ > 1 4 & ' ( ) * + , - . / 0 a ; bjbj 42 ff X 8 4 / T 11 . > J. ^. 0 0 0 0 0 0 0 $ 2 5 N 0 j. , . j. j. 0 0 0 0 0 j. R 0 0 j. 0 0 0 y 6 0 @@ . ^ 0 0 1 0 11 0 5 / 5 0 5 0 j. j. 0 j. j. j. j. j. 0 0 / ^ j. j. j. 11 j. j. j. j. 5 j. j. j. j. j. j. j. j. j.
: Program Participant Travel Reimbursement RequestReceipts must accompany this form
Camp Name: ____________________________________ Todays Date:__________________Camp Contact Name: ______________________ Camp Contact title: _________________Phone: ___________ Fax: ______________ E-mail: ______________________Mailing Address: _______________________ City: _______________ State/Prov:_______ Zip _____Program for which travel reimbursement is sought: Program Date: ____________ GIFT LEAP LEGACY Enrollment J-TEC Data-2-Donors OtherWho should the reimbursement check be made out to: _________________________________*Requests for reimbursement must be submitted within 60 days of the program to be eligibleReceipts for all expenses must be submitted with this form to be eligible for reimbursementReimbursement amounts are based on qualified expenses. See HYPERLINK "http://www.jcamp180.org/travel" www.jcamp180.org/travel for details
Reimbursement Information
Name:Person 1Person 2Person 3Person 4Expense TypeDate PaidAmount PaidDate PaidAmount PaidDate PaidAmount PaidDate PaidAmount PaidAirfare$$$$Mileage (@$0.38/mi)$$$$Hotel$$$$Other$$$$Other$$$$Total PaidPerson 1Total:Person 2Total:Person 3Total:Person 4Total:
This Section for JCamp 180 Use only
Date Received: ___/___/___ by:_____Person 1 __________ - $200 = ____________ sum Person 2 __________ - $200 = ____________ x 0.5 = Person 3 __________ - $200 = ____________ Person 4 __________ - $200 = ____________ $ _________Total Attendees: ____ x $200 = $ _________Total to be reimbursed: $__________
Revised 2/2019
67 Hunt Street Suite 100, Agawam, MA 01001 Ph. (413) 276-0710 Fax (413) 276-0806 www.jcamp180.org
Approved Team Total Reimbursement (max $1200.00) $__________Approved by: _______________Date: _______________Account: _______________
3 4 U V W X Y Z [ \ ] h m y ; H _ q
%
*
+
1
7
o
q
ļ h7
CJ aJ h< hz+q h< h< h< h7
j h~) UmH nH u h~) h e h7
CJ aJ h7
h?) j h7
U G V 6 P ] f o x $$If a$gd $If gd7
$a$gd7
gd~) $a$gd~)
e ( ) 5 6 O P W \ ] ^ e f m n o v w x ں沧}vvv}vv}vv}vkkkkkkk h hW CJ aJ hW hW hW h< hW CJ aJ h< h< CJ aJ h< CJ aJ h7
CJ aJ h7
h7
CJ aJ h| CJ aJ h% hUjS 0J CJ aJ hUjS hUjS CJ aJ hUjS CJ aJ j hUjS CJ UaJ h< h7
CJ aJ h< CJ aJ h< h< % , # # $If gd7
kd $$If l 4 r 8%` p p p p
t 0 d& 4 4
l a p2 yt{8 $If gd7
kd $$If l 4 r 8% p p p p
t 2 0 d& 4 4
l a p2 yt{8
!
#
$
*
+
-
.
0
1
3
4
6
7
=
>
@
A
C
D
F
G
I
J
K
L
M
N
O
P
Q
R
S
T
Z
[
]
^
`
a
c
d
e
f
g
h
i
h h< CJ aJ h e h< h h< CJ aJ hW h< h< h hW CJ aJ h hW CJ aJ L
$$If a$gd FfA $If gd# $$If a$gdCb Ff $If gd $If gd7
!
#
$
*
+
-
.
0
1
3
4
6
7
=
>
@
A
C
D
F
FfQ $$If a$gd Ff $If gd# $If gd7
F
G
I
J
K
L
M
N
O
P
Q
R
S
T
Z
[
]
^
`
a
c
d
f
g
Ff $$If a$gd# Ff $$If a$gd Ff6 $If gd# $If gd7
g
h
i
j
k
l
m
n
o
p
q
|
}
~
Ffպ $If gd# $$If a$gd Ff $If gd7
$$If a$gd# i
j
k
l
m
n
o
p
q
|
}
~
ƸΑ h|:n j h|:n Uh7
h7
CJ aJ j h0 UmH nH u j hB UmH nH u j h~) UmH nH u h CJ aJ j h UmH nH u h< hz( h< hW h< h h< CJ aJ h e h< 2
gd{8 $a$gd{8 $a$gd d gd gd7
Ff $If gd# $If gd7
f A Q f z 9 < = A G N Q R V W ^ n q r v 7 8 9 : h{8 h{8 CJ aJ h{8 CJ aJ h{8 CJ aJ h{8 h{8 CJ aJ h{8 h{8 h{8 >*h{8 h{8 >*h0 h0 6] h0 h0 hfD hB h0 h~) hc h{8 h|:n h# h h 3 q r 8 9 : ; gd7
gd0 gd{8 : ; h7
h7
CJ aJ 2 1h:p?) / =!"#h$% D d "tt n
C J A 2 J C A M P 1 8 0 _ f i n a l l o g o _ s p o t R U 8G# ei 1 D K"F) 8G# ei ,Photoshop 3.0 8BIM H H qWhttp://ns.adobe.com/xap/1.0/
image/jpeg
Print
2012-12-19T16:29:18-05:00
2012-12-19T21:29:20Z
2012-12-19T16:29:18-05:00
Adobe Illustrator CS5.1
256
80
JPEG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=
xmp.iid:BA10E007312768118C14D9D07712C166
xmp.did:BA10E007312768118C14D9D07712C166
uuid:5D20892493BFDB11914A8590D31508C8
proof:pdf
xmp.iid:B810E007312768118C14D9D07712C166
xmp.did:B810E007312768118C14D9D07712C166
uuid:5D20892493BFDB11914A8590D31508C8
proof:pdf
saved
xmp.iid:0A80117407206811808392C45DC6A43A
2012-07-24T16:03:31-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:FF7F1174072068118083A4D7917CA866
2012-08-03T08:25:18-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:1B06052C9B2168118083A4D7917CA866
2012-08-06T08:29:31-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:1E06052C9B2168118083A4D7917CA866
2012-08-06T11:26:54-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:3395AA0BD12468118083A4D7917CA866
2012-08-08T08:05:19-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:27FCB4420F2068118083B217D407484E
2012-08-10T08:22:51-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:F77F1174072068118083D8E0FFD89A20
2012-08-13T08:24:03-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:F87F1174072068118083D8E0FFD89A20
2012-08-13T11:31:14-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:F87F1174072068118083C8252510A916
2012-08-15T07:05:07-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:F97F1174072068118083C8252510A916
2012-08-15T07:31:45-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:FC7F1174072068118083E8320C5B44D9
2012-08-22T08:37:51-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:FD7F1174072068118083E8320C5B44D9
2012-08-22T08:38:03-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:FF7F1174072068118083E8320C5B44D9
2012-08-22T09:00:40-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:00801174072068118083E8320C5B44D9
2012-08-22T09:03:18-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:E06BEC8E5C2168118083E8320C5B44D9
2012-08-23T08:09:02-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:16ABCD6B7B2568118083E8320C5B44D9
2012-08-27T14:57:55-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:C4CE658BE3206811808396F8A4B4B3AC
2012-10-05T15:47:16-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:C5CE658BE3206811808396F8A4B4B3AC
2012-10-09T08:59:54-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:06801174072068118083CA48E6851454
2012-10-11T13:11:38-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:07801174072068118083CA48E6851454
2012-10-12T08:16:42-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:08801174072068118083CA48E6851454
2012-10-12T08:33:15-04:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:B810E007312768118C14D9D07712C166
2012-12-19T16:28:19-05:00
Adobe Illustrator CS5.1
/
saved
xmp.iid:BA10E007312768118C14D9D07712C166
2012-12-19T16:29:18-05:00
Adobe Illustrator CS5.1
/
Print
Adobe PDF library 9.90
}ICC_PROFILE pADBE prtrCMYKLab ) 5acspAPPL ADBE -ADBE
desc tcprt p +wtpt A2B0 A2B2 A2B1 B2A0 E 8B2A1 ~t 8B2A2 ( 8gamt desc U.S. Web Coated (SWOP) v2 text Copyright 2000 Adobe Systems, Inc. XYZ Z g 0mft2 $i
6
1^2Wy%Y !"#%#&D'f()*+-.(/H0i123457859Q:m;<=>?AB)CBD\EuFGHIJLM,NCOYPoQRSTUVX
Y#Z:[Q\f]x^_`abcdfgh#i3jBkRl^mgnqozpqrstuvwxyz{|}~ˀɁǂŃ{pdXL@3&֜ȝ|jWE3 תū}kYG6$ ڷȸ~kYG5"ŵƣǑ~lYD.оѧҐyaI1 ڲۘ}bG,{W3qHvU3sIa)\Z ,
!"#$%&'()*+,-./0123456789:;~<|=|>|?}@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`ac deefghijklmnopqrstuvwxyz{|z}o~dXMA5)ۈʉq`N=,
ٖɗmZH6%ؤʥwog`ZTOLIFEDEFHJNRW]cjr{ĄŊƐǖȝɥʭ˶̿*7DQ^kyކߔ ,8CNYcjnoldVD/ h 2
Rer
xzzzyuph^RE7)4=@?:4 ,!#"#$$%&'()*+,-./|0p1d2Y3M4A566+7!89: :;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{||}v~oiaZQH>5+!؎͏Ðxpjc^YURPOOPRUY_fnx̰߱ 8Ql»!Ceª9^ɂʦ2TtҔӲ6Lat݇ޘߧoX\[VL=*b/fMq T
p_L7! }tfUA, !"#$%z&d'N(9)%**+,-./01y2g3U4D526"7889:;<=>?@}AoBbCUDIE~%
ہrW; ϊ}bG-ޒēx`G/Ԝq_O?0"۬խЮ˯ǰı²µŶȷӹۺ 0@RfzƏǦȾ*GcЀџҿ'LsٛFsM6+1MZ:{ T?~ò~i~L}~cbA~Dad~ty~W~O>~\/~|~`C x}%H}1X}%z}K}
{N}<_~7A~-ψ||Dz|+E|[s|z}^}wO@}-~ċ {Gu{Dz{]Ĭ{f{Zx|[]|ϕM?}R<}Ǝz]YzHħz|z={LNw{\|=>|v|ېI8z/r
z;bz'sMzd6zɬqv{D[{0>|;|yyaIy?yazYvzݮ[{^=c{ФI{R*y߄yfUy`VyyuKzZi{<{z%zȎ~+~ }͇}W0}3}HtЄ}Zk}=~zɇ }!~Єd*s}Y<9wpSwuuVrUW؈|;,뇔{RsѲ;:8q)PCV:4.8Ȅ2?UpVu9ScbփR.ՁNn U388A/ͬδz6߆өn1T\e7݀tXT)$̯̕6;eCʷˆ imw3SƀV7M
\lGNػځNāa5tNzlߴS<H6*