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Reimbursement Request Form
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Highland Utah West Stake
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DateSubmitted by:
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OrganizationPurpose:
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Check Payable to:
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This request is:
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Reimburement - receipts MUST be attached
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Invoice Item - MUST have prior approval and include copy of invoice
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Cash Advance - receipts and excess funds MUST be turned in immediately
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Fast Offering - attach receipts (if available) or utlize reimbursement form to support
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the fast offering payment.
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Description of Each Expense (Attach Receipt)
AmountTaxTotal
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Total Funds Paid:
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Less: Funds Received in Advance:
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Requested Reimbursement:
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Required Approvals
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Organization/Auxillary Head Approval:
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( Auxillary President OR High Counselor/Stake President?Bishopric member that advises your organization}
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Stake President or Bishop Approval:
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(All expense requests must be signed by the Stake President or Bishop)
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