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Arisia, Inc. 2022 Convention Expense Reimbursement Form (Rev 12/2020)
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Purchases made for Arisia, Inc. are not subject to Mass sales tax.
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Mass State Sales Tax Exemption Number: 04-031143
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Payee Name:PayPal or
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Payee Email:Check?
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Phone #:PayPal
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Address:
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Detailed list of expenses (add rows if necessary):
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Receipt DateVendor/SourceDivision/AreaBudget CategoryCost
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$0.00
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Receipt(s) must be included with this form. If receipts cannot be supplied, a memo detailing the reason must be approved by the ConChair Team.
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Nothing in this form shall be considered a guarantee of payment. The Treasurer reserves the right to refuse incorrect, incomplete, or illegible forms.
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Forward this completed form to your approver and cc your division.
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Approval - Division Head/ConChair Team
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Approver Name:
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Title:
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Signature:
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Date Approved:
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Total Approved:$
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Forward this completed form to contreasurer@arisia.org.
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Approval - Convention Treasury Team
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Approver Name:
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Title:
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Signature:
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Date Approved:
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Date Entered:
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Account Used:
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Pay Instrument:
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#: