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REIMBURSEABLE EXPENSE FORM
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DATE:9/3/2026FORM SUBMITTED BY:Scott Johnson
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ALL REQUESTED EXPENSES TO BE REIMBURSED MUST HAVE EXPLANATION ENTERED FOR INDIVIDUAL EXPENSE AND HAVE CLEAR/SUPPORTING DOCUMENTATION (RECEIPTS) ATTACHED.
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RECEIPT DATEDESCRIPTIONTOTAL AMOUNT
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8/17/2026Tee Shirts for the All Corvette Show /
PLEASE make check out to "KSW Printing".
$1,290.00
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TOTAL $ AMOUNT (auto-calculated from above entries)$1,290.00
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TOTAL AMOUNT OF ANY REMAINING "UP FRONT" MONIES RECEIVED$0.00
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TOTAL REIMBURSEMENT DUE FOR THIS REQUEST (negative amount indicates credit still available / NO REIMBURSEMENT DUE)$1,290.00
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Receipts for all requested reimbursement must be attached with submitted form.
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Signature of Member Requesting ReimbursementScott Johnson
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This area below for COB Treasurer Use Only
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DATE:CHECK # -
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NOTES -
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