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North Farmington High School School PTSA
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Check Request Form
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(Please complete all fields.)
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Check to be written to:
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Date:
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Person Requesting Funds:
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Phone #:
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PTA Committee / Activity:
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How do you want the check to be delivered? (check preferred method)
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Mail check to the following address:
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Call me when it is available to pick up
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Leave it in the PTSA Mailbox and notify by e-mail:
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Email:
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Description of Items/Services Purchased:
Income/Expense Category$ Amount
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 Total Check Amount: $ -
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Invoices and/or receipts must be attached.
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Must complete "Income/Expense Category" with an approved PTSA budget line item, e.g. Fundraising, Enrichments, etc.
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I acknowledge that these funds were requested for the purpose of PTA business: ____________________________________________________
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Signature of Person Requesting Reimbursement
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Note: Normal processing time is 1-2 weeks for the processing and signature of a check.
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In order to speed up the process, let the Treasurer know there is a check request waiting at school.
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You can reach the Treasurer, Annette Silvagi at asilvagi@hotmail.com
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All lost checks are subject to a stop payment fee.
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Last updated 09/17/2021
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