PTA Reimbursment voucher rev 4

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Parkside PTA Reimbursement

General Checking Account

Voucher

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

PLEASE PRINT

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:_______________________

Rev 051304

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