Form no. 30 credit card expenses for nvps. - UVAE

UNION OF VETERANS AFFAIRS EMPLOYEES/SYNDICAT DES EMPLOYÉ(E)S DES
ANCIENS COMBATTANTS
EXPENSE CREDIT CARD/DÉPENSE CARTE DE CREDIT
SUBMITTED BY:
PRÉSENTÉ PAR:………………………………………………………………………………
PURPOSE OF EXPENSE:
RAISON DE LA DÉPENSE:
……………………………………………………………………
……………………………………………………………………
AMOUNT:
………………….
MONTANT : ………………….
CERIFIED CORRECT:
CERTIFIÉ CONFORME: …………………………………………………………
(signature of claimant/signature du requérant)
Date:
……………………………………………………
Charge to/Debité à:
………………………………………………………
uvae/seac 30
October/octobre/2004