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EXPENDITURE REQUEST FORM
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KPCA English Presbytery
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For prompt payments, fill out the form completely including authorized signatures. Attach invoices or receipts to the back.
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Request Date:Received/Disbursed by
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Payee's Name:signature
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Phone No.:print name
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Address: Date
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 / /
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Event/ActivityITEMDateAmountDescription
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Total$0.00
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Authorized Signatures
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Submitted by
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SignaturePrint Name And Date
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KPCA EM Treasurer
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SignaturePrint Name And Date
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Finance Department- For office use only
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Req. ReceivedCheck Issued Date / /
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Req. ProcessedCheck Number
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Finance Dept Coordinator
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SignaturePrint Name And Date
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