Send to current Treasurer, along with original dated receipts, 
BIOMEDICAL AND LIFE SCIENCES DIVISION				within 5 working days of event or activity.
Committee Expenses							Please print.

Name  									Postal Code  									
Address  								Country  									
City, State/Province  							Purpose  									

Date	Program or Project	Cost	Explanation*	

				

				

*Continue on back of form if necessary.				Grand Total: _______________________

Statement of Advance	
	Date	Amount	
Balance on hand from previous voucher			
Plus advance received			
Subtotal			
Less this expense voucher			
Balance on hand this date			

I hereby certify that the above is a true and accurate statement of expenses incurred.

Signature:									Office use only: Paid by check 		 on