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Live Oak Unitarian Universalist Church
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2021 Reimbursement Form
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Circle if applicable: DONATION
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AmountCategoryDescription
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Building
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Advertising (Diane Stepakof-Fay)
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Facilities Large Projects (Mike Schultz)
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General Supplies & Repairs (Mike Schultz)
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Hospitality Supplies (Sue Buckley)
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Office Supplies (Diane Stepakof-Fay)
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Congregational Life
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Community Outreach
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ESL Program (Mary Hengstebeck)
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Library
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Membership Expenses (Becky McPherson)
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Pastoral Care (Sue Buckley/Linda McCullough)
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Scholarships and Training (Executive Team)
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Programming
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Music Supplies (Rebecca Maze)
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Worship Supplies (Rev. Joanna Crawford)
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Religious Education
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RE Curriculum (Carrie Krause)
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RE Supplies (Carrie Krause)
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Miscellaneous
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Minister's Discretionary (Rev. Joanna Crawford)
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Sr. High Youth Group (Carrie Krause)
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Stewardship Committee (Rachel Sartin)
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OTHER (please state budget line)
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$ Total Reimbursed
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Name:Date:
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Address:
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Church Credit Card □
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Signature of Budget Line Owner:
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Instructions: Please staple receipts, list total expenses by category, and obtain the signature of the
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budget line owner. If you choose "Other," please state which budget line this refers to and obtain the
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signature of the budget line owner or the reimbursement will be returned to you for insufficient information.
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We cannot reimburse for sales tax because Live Oak is a tax exempt organization.
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Check with the business to see if we're on file as tax exempt or take a signed tax exempt form.
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