Purchase/ Reimbursement Warrant

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Email *

Name of the Vendor *

Who should the check be made out to?

Address of Vendor/Payee *

Phone Number of Payee *

Reason for Purchase/Reimbursement *

Description *

If you selected Other for the description, explain below:

Amount or "not to exceed" amount *

Requested by *

Please check yes or no below to indicate that a receipt or paperwork has been placed in Mrs. Cox's mailbox. *

Yes

Submit

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This form was created inside of Buckeye Union School District.