Expense Sheet Name*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Meeting/Committee*Date of the meeting* Date Format: MM slash DD slash YYYY Held in (City)*Convened At* : HH MM AM PM Adjourned At* : HH MM AM PM Transportation* Bus Airplane Automobile NA From*Select...Acadieville (via Newcastle)AllardvilleAlmaAndoverApohaquiAroostookAroostook JunctionArthuretteAtholvilleAulacBack Bay (via Saint John)Baie Ste-AnneBaie VerteBaker BrookBalmoralBarachoisBas CaraquetBathBathurstBeechwoodBelleduneBeresfordBertrandBlack's Harbour (via Saint John)BlackvilleBloomfieldBloomfield (via Saint John)BoiestownBonney RiverBouctouche (via Moncton)BristolBurtts CornerCampbellton (via Bathurst)CampobelloCanterburyCap LumièreCap-PeléCape TourmentineCaraquetCaron BrookCentrevilleCharlo (via Bathurst)ChathamChipmanClairCocagneCollege BridgeConnorsDalhousieDalhousie JunctionDepuis CornerDieppeDoaktownDouglastownDrummondEdmundstonEel River CrossingFairvaleFlorencevilleGearyGondola PointGrand AnseGrand BayGrand FallsGrand MananGrand SaultGrand-DigueGrande AldouaneHamptonHampton (via Saint John)HartlandHarvey StationHatfield SettlementHaut CaraquetHillsboroughInkermanIrishtownJacquet RiverKedgwickKouchibougouac (via Chatham)Lac BakerLagacévilleLamèqueLavilletteLepreauLong's CreekLosier SettlementMaisonnetteMcNameeMeducticMemramcookMillertonMillvilleMintoMiscou CentreMonctonNackawicNéguacNewcastleNicolas DenysNigadooNotre DameOromoctoPaquetvillePerthPetit RocherPetitcodiacPlaster RockPointe VertePokemouchePort ElginQuispamsisRenforthRextonRichibouctouRichibouctou VillageRiverviewRobertvilleRobichaudRogersvilleRothesaySackvilleSaint JohnSalisburyShédiacShédiac BridgeSheilaShemogueShippaganSiegasSt. AndréSt. Andrews (via St. Stephen)St. GeorgeSt. LeonardSt. StephenStanleySt-AnselmeSt-AntoineSt-BasileSt-CharlesSte-Anne de MadawaskaSte-Anne du BocageSte-Anne-de-KentSt-ÉdouardSt-FrançoisSt-HilareSt-IgnaceSt-IsidoreSt-JacquesSt-Jean-BaptisteSt-Joseph de MemramcookSt-Louis-de-Kent (via Miramichi)St-MartinSt-QuentinSt-SauveurSussexSwan CreekTabusintacTaymouthTideheadTracadieUpper BlackvilleWestfieldWoodstockZealand Station Meal Allowance: In Province: Breakfast= $10 | Lunch= $15 | Dinner= $20 (tip included). Outside of Province= $ 60 per day. An individual is not allowed dinner allowance if/she can arrive home before 5 p.m. Lodging: Actual cost of single room (one person) supported by receipt or $ 20 with no receipt. Guidelines: If a member cannot arrive home by 9:30 p.m. including one hour for dinner, then it is reasonable to assume that a member would be entitled to overnight lodging. If a member can leave his residence at 8:00 a.m. and arrive on time for the meeting, then that member shall not be entitled to overnight lodging the night prior to a meeting or breakfast the day of the meeting (except in case where a breakfast meeting has been organized). In hotels or motels (in Fredericton) where NBTF has negotiated a special rate, that amount will be billed directly to NBTF. The members will be responsible for any amount over and above the fixed rate. In all other instances, the members will pay the motel/hotel and submit a receipt to be reimbursed for the single room rate for one person. The number of kilometers indicated on page 2 show the approximate distance return, between Fredericton and your place of residence. Expenses*DayDateLodgingBreakfast ($10)Lunch ($15)Dinner ($20)Miscellaneous (with receipt)Total I wish to receive payment by*ChequeDirect DepositIf you have not setup the direct deposit with the NBTF, please contact Christina Ouellette Michaud at 506 452-1723 or christina.ouellette@nbtffenb.ca.Calculated MileageGrand Total