Invoice for New Mexico Breastfeeding Task Force Member Travel to State Quarterly
Meetings (Excludes travel to Meeting In March) Date: _______________ Date and Location of Meeting ___________________ Payable to (printed name and complete address of Task Force Member): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ This invoice is requesting payment for travel to a New Mexico Breastfeeding Task Force Member for attending the quarterly meetings. Please complete the following: ____________ Total of all travel expenses related to meeting. This amount may include: $__________ One day per diem if travel is longer than three hours. (to compensate for meals and lodging) @ 85.00 per diem night. $__________ amount to be paid for mileage based on ________miles @ .32 cents per mile. Odometer Reading (Beg)________, (End)_________Total: ________ OR Map Mileage: _____________________________________________ __________ = Total Amount Due to Task Force Member ________________________________________________________________________ Task Force Member Signature) (Date) - Mail to: New Mexico Breastfeeding Task Force 430 LIve Oak Lane NE Albuquerque, NM 87122 Attn.: Travel Stipends |