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_____________________________________
Davis Thayer Elementary School PCC
Today's Date:_____________________________________________ Name of School Function:____________________________________ Date of Function:___________________________________________ What Committee is Requesting Funds: _________________________ Item/Product Purchased:_____________________________________ Total Amount of Check Request: $______________________________ Check made Out To: _________________________________________ Name (of Person Filling Out Form):______________________________ Address:____________________________________________________ ____________________________________________________ Telephone:___________________________________________________ _____________________________________ Please Note: Three days notice is required on all checks/reimbursement to be issued. Receipts are required for all reimbursements (attach receipts to this form at time of request). Thank you in advance for your assistance. _____________________________________ |
24224 This Web
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Updated:
February 23, 2009
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