Church Credit Card & Debit Card Policy Page 2
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3Village Bible Church Missing Receipt Form
I am requesting reimbursement for the following expenses for which the itemized receipt(s) are unavailable for my
accounting.
Name
Ministry
Reason for Missing Receipt
Date
Amount
Merchant/Payee Name
Street Address
City, State, Zip
Description of Expenditure
By signing below, I am certifying that the above amounts are appropriate ministry expenses incurred by me.
Authorized Signature
Date
Mission
Sugar Grove, IL
To love Jesus to the point of transformation
To love each other to the point of sacrifice
630-466-7198
To love our neighbor to the point of action
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