Reimbursement Form

LOS ALTOS NEWCOMERS FORM FOR REIMBURSEMENT

 

Name:                                                                                                Total amount:

 

Function:

 

Nature of Expense:

 

Name of Vendor/s:

 

Staple receipts in back of the upper left-hand corner.

 

Board approval required for other than budget items.

 

Date of Board Approval:

 

FOR TREASURER’S INPUT ONLY:

 

Check #                                             Date Paid

 

Notes:

 

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