General Checking Account
Check Num:_____________
Check Date:_____________
Regulations regarding the monies of nonprofit organizations require clear documentation of all transactions. To receive reimbursement for Parkside PTA for expenses incurred, please complete the form below AND tape receipt(s) for purchase(s) to the back of this form. The information you provide will assist the Treasurer in keeping accurate and timely financial records. All requests must be made within 60 days of when the expense was incurred, and before June 15 of the current school year.
Thank You,
The Parkside PTA Board
Check Payable To:__________________________________________ Tel:____________________________
Address:____________________________________________________________________________________
Individuals requesting payment for services must include Fed Tax ID number:_____________________________
Amount Requested:______________________________ Email :_______________________________________
Brief Explanation:_____________________________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Invoice Number/Receipt number (if applicable):_____________________________________________________
Approved by:_____________________________________ Title:____________________________________
Phone:___________________________________________ Date:____________________________________
FOR TREASURE USE ONLY Posting Date:______________
Check Payable To (as printed on check):___________________________________________________________
Notes:_____________________________________________________________________________________
1st Check Signature:___________________________ 2nd Check Signature:___________________________
Charge to Acct:_______________________________ Event:_______________________ Amt: $___________
Charge to Acct:_______________________________ Event:_______________________ Amt: $___________
Charge to Acct:_______________________________ Event:_______________________ Amt: $___________
Treasure’s Signature:__________________________ Date:_______________________
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