Check Request Form - South County Ptso

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CHECK REQUEST FORM
________________
DATE:
Request From/Name: ____________________________________ Phone: _______________
Email address: ________________________________________________________________
(circle one) Parent
Teacher
School Staff
PTSO Board
Other
Club/Group/Class: ______________________________________________________
Amount Requested:
$___________________
Date Needed: ____________________
Charge to what budget line item?
___________________________________________
Make Check Payable to:
__________________________________________________
: __________________________________________
If check is to be mailed – provide address
_________________________________________
Reason for request/Event: _________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
PTSO OFFICER APPROVING CHECK: ________________________________
(Signature )
** (Please staple all receipts, contracts, etc. to this form. Receipts are REQUIRED for reimbursement.)**
Return this to the PTSO Mail Crate in the SCHS Mail room - Attn: Treasurer
Please e-mail with any questions:
**********************************************************************************************************************
Treasurer’s Use Only:
Date of Check: ________________
Check number: ___________________
Comments:
_____________________________________________________________________________
_____________________________________________________________________________
Rev. 7/23/12

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