Check Request Form Page 2
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2valley vineyard
Form Instructions:
Please use this form if you have an invoice or bid for services
check request form
and have not paid for the service yourself. This form is not
for reimbursement. For questions on this form please see
Admin Pastor or Bookkeeper.
Thank you
Date you need in
your hand.
Date needed
Who is the
Check going to?
Payable to
Please explain
Purpose
in detail.
Your Name
Ministry
If you need a blank check, you will need prior approva
Only mark here if you are
Once approved, choose from the following:
requesting a blank check.
Getting a signed blank check
Under $300
is considered an exception
to normal procedures and must
be pre-approved.
Under $750 but over $300
Over $750: Approximate amount $___________________
If you want me to mail the check, please attach anything
that needs to be included with this Check Request Form.
Mail Check to:
You, the
requestor,
must sign
here.
(Your Signature)
Please get the Admin.
Pastor to approval
****OFFICE USE ONLY****
before giving to
Date
Account/Ministry
Check#
Bookkeeper.
(Approval Signature)
check request rev 10/04
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Parent category: Business