ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Presbytery of the Western ReserveComplete if disbursement/transfer
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Disbursement Voucher/Funds Transfer RequestComplete if disbursement
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Complete if check disbursementComplete if either disbursement/transferComplete if transfer
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Payable to:Amount:
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Address:Special Instructions:
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Address 2:Is this to be mailed? Is the mailing address different than the address to the left? What info do we need to get this to the right place?
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City:
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State:
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Zip:Due Date:
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Memo Line:
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Distribution (from accounts)
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AccountDescriptionAmount
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Complete if transfer
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Transfer to accounts (disregard if check disbursement)
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Complete if either disbursement/transfer
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Date:
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Requested By:
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Organization or Committee:
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Approved By:
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Email completed voucher to
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score@preswesres.org
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