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2017-2018 Dufief ES PTA Reimbursement Form
Total Amount to be reimbursed:
Please make check payable to:
Description of Expense(s):
Committee/Activity/PTA Budget Line Item
Check requested by:
Pick up at Dufief ES front office
Mailed: please check OTHER and fill in your address below.
Budget and Officer's Approval
Check no. and Date
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