Reimbursement Request.xlsx

	A	B	C	D	E	F	G	H	I	J	K
1	Society for Creative Anachronism, Incorporated
2	Middle Kingdom
3	Reimbursement Request
4	Event Name:
5	Event Date:
6
7	Requesting Office:						Date of Request:
8	SCA Name:
9	Legal Name:
10	Address:
11	City:					ST:		Zip:
12	Phone (Home):
13	e-mail:
14
15	2. Request Reimbursement for the following expenses
16	Receipt Name	Date	Equip Rental & Maint	Food	Supplies	Site Charges	Postage	Printing & Pubs	Phone	Travel	Total
17			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
18			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
19			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
20			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
21			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
22			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
23			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
24			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
25			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
26			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
27			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
28			$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
29	TOTAL		$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -	$ -
30
31	3. To be completed by Exchequer
32	Check Date	Check No.	To					Check Amt	Reimbursement Type
33								$ -	Equipment Rental and Maint
34								$ -	Food
35								$ -	Supplies
36								$ -	Site Charges
37								$ -	Postage
38								$ -	Printing and Pubs
39								$ -	Telephone
40								$ -	Travel
41								$ -
42
43
44	Society for Creative Anachronism, Incorporated
45	Middle Kingdom
46	Reimbursement Request
47	Event Name:
48	Event Date:
49
50
51	4. To be included with Reimbursement Check
52	Check Date	Check No.	To					Check Amt	Reimbursement Type
53								$ -	Equipment Rental and Maint
54								$ -	Food
55								$ -	Supplies
56								$ -	Site Charges
57								$ -	Postage
58								$ -	Printing and Pubs
59								$ -	Telephone
60								$ -	Travel
61								$ -
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