PTA CES PAYMENT AUTHORIZATION FORM
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

 
View only
 
 
ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
COLLEYVILLE ELEMENTARY SCHOOL PTA
2
3
Payment Authorization Form
4
5
Date
6
7
Name of Person Requesting CheckPhone( )
8
Email
9
10
PTA PositionCity/Zip
11
If room parent, indicate teacher/grade
12
13
Event or Assignment
14
15
16
Date of Event
17
18
Amount Requested$
19
20
Invoice attached
Original Receipt Attached
21
22
Request for Taxpayer Identification Number?
23
24
SALES TAX WILL NOT BE REIMBURSED. THE SALES TAX EXEMPTION FORM
25
SHOULD BE PRESENTED TO MERCHANTS AT TIME OF PURCHASE. SALES TAX EXEMPTION
26
FORMS ARE AVAILABLE IN THE PTA FILE AREA.
27
28
Write Check To:
29
30
Name of Person/Company
31
32
33
34
Address
35
36
37
( )
38
CityZipPhone
39
40
41
Approved by:
42
43
44
President's Signature
45
46
47
48
For PTA Treasurer use:
49
BudgetBudgetedCheckRemaining
50
CategoryAmountNumberAmountBudget
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...
Main menu