Request For Payment Or Reimbursement Of Funds Form Lchs Ptsa

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Request for Payment or Reimbursement of Funds Form
LCHS PTSA
Date Requested:_______________
Total Amount Requested:____________________
Requested by (Name):__________________________________________________________
PTSA or LCHS Position: _______________________________________________________
Budget Category:_____________________________________________________________
Description of Expense, Items Purchased:
Payee:______________________________________________________________________
Address:____________________________________________________________________
Phone:______________________________________________________________________
Date Expenditure Approved. If blank, it was part of the original slated budget. ___________
If Requestor is a District employee, please get Principal McFeat’s signature before submission.
Approved by Ian McFeat :_____________________________________Date:_____________
ORIGINAL BILLS AND/OR RECEIPTS MUST BE ATTACHED!
PLEASE DO NOT PURCHASE PERSONAL ITEMS ON THE SAME RECEIPT.
Receipt must contain PTA purchases only.
Requestor: please leave the space below blank
Approved by:______________________________________Date:______________________
PTSA President
Approved by:______________________________________Date:______________________
PTSA Recording Secretary

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