Request For Payment - Oakland Terrace Elementary School

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Request for Payment
Oakland Terrace Elementary School
Please make check payable to: _______________________________________
Amount: $______________________________________________________
Budget line item to be charged: ______________________________________
Purpose: _______________________________________________________
Itemization of Expenses:
______________________________________________________________
______________________________________________________________
Prepared by: ____________________________________________________
(Signature and Date)
Approval : _____________________________________________________
(Signature and Date)
Receipts or other supporting documentation MUST be attached
*********************************************************
Paid by Check No.: __________________
Date_____________

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