Purchase Order Form
Please provide a copy of the receipt to our bookkeepers, Naomi Beers or Kim Strahan. A reimbursement check will not be provided to you without a copy of the receipt. If you have questions about reimbursement, please see Monty Blakkolb, Treasurer at New Life Church.
Name
First & Last Name ( Format: John Smith)
Your answer
Email
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
Description of Expense
Intended Date of Purchase
MM
/
DD
/
YYYY
Ministry Department
Description of Purchase
Please includes items being purchase and the purpose for the purchase.
Your answer
Please list the vendor, amount, and address the check needs to be sent to if applicable. Please put each vendor on a separate line.
Sample Format: Bob's Ministry Barn - 1234 Holy Ghost Alley, Santa Ana, CA 77777 OR Target in Aurora OR Amazon.com
Your answer
Total Amount of Purchase
Itemized purchase detail will be taken below.
Your answer
Method of Payment
Important Note About Reimbursements
If you are planning to get reimbursed, please remember the following:

- PO’s are required before the purchase is made. Items purchased without an approved purchase order will not be reimbursed.
- In most situations, it should not be expected for the reimbursement to be fulfilled earlier than 2 weeks from the date of submission.
- No reimbursements will be given for an unauthorized (no PO) expense/purchase or for purchases made that do not include a receipt.
- Attach your receipts to your purchase order form.
- Please note that we do not like to reimburse tax. Our tax-exempt forms are easily downloaded. Repeated offenses will result in the tax not be reimbursed for purchases or a loss of purchasing privilege.
- Reimbursement request should be made in a timely fashion. Please do not let reimbursement requests linger more than 30 days.

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