Expense Statement Template
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1______________________ PTA
EXPENSE STATEMENT
ATTACH ALL RECEIPTS TO THIS EXPENSE STATEMENT
Name ___________________________________________________________________
Address _________________________________________________________________
City/Zip __________________________________________________________________
Telephone (____)________________ E-mail ____________________________________
Expenditure was for: __________________________________________
List Expenditures: ______________________
$ __________
______________________
$ __________
______________________
$ __________
______________________
$ __________
TOTAL EXPENSE
$ __________
Total Amount Claimed From Above
$ __________
Minus Advance Received
$ __________
Reimbursement Claimed
$ __________
Not claimed – donate to PTA
$ __________
Refund to PTA (Enclose Check)
$ __________
Signature _________________________________________
Date _________________
F
PTA
:
OR
TREASURER USE
Membership-approved activity
Funds released by membership
Executive Board-approved expenditure
Check Number
Category
Amount Advanced
Expenses
Amount Owed or Due
President’s signature: _____________________________________________ Date _____________
303
California State PTA Toolkit - 2007
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Parent category: Business