2017-2018 Dufief ES PTA Reimbursement Form
Date *
MM
/
DD
/
YYYY
Total Amount to be reimbursed: *
Please make check payable to: *
Description of Expense(s): *
Committee/Activity/PTA Budget Line Item
Check requested by: *
Email: *
Payment disposition *
Budget and Officer's Approval
Check no. and Date
Upload receipts *
Required
Submit
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