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August 1, 2026 Exemplification - Assembly Reconcilation Form
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Fill in the shaded squares where applicable. See sheet 2 for a completed example.
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Feel free to delete unused lines and instructions when you are done as in the example.
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You can add more lines if needed, but watch the built-in formuals in this form.
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Priests
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NameFee ($30)
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Subtotal$0
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Candidates
Add'l Banquet TixTotal due
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NameFee ($90)QtyFee ($30 ea)to Assy
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Subtotal$0
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SK Banquet Attendees*
Banquet TicketsTotal due
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NameQtyFee ($30 ea)to Assy
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Subtotal$0
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* We only need to track others staying for the meal.
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Total due to Master:$0
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Assembly Information
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Assembly No./Name
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Check Amount/No.
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Contact NamePhoneEmail
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Comments (if needed):
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Please email scanned Form 4s to me as early as possible so I can check for completeness.
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Candidates and attendees other than priests pay your Assembly and you write me one check.
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Please email reconciliation form and all scanned Form 4s to me by 4/26.
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Forms received by then will receive certificates at the exemp and will be in the program.
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Please have someone bring all the signed Form 4s and a check to the exemplification.
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You can also mail the check and Form 4s to me.
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For late changes, please call or email me. Don't assume anything.
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