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Pre-Paid / Gift Card Expense Transaction Form
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Date Card Purchased
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Amount of Card
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Account from which card was purchased
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EXPENSES ON PRE-PAID CARD OR GIFT CARDAmount SpentRemaining BalanceAccountClass
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DateVendorDescription/Event (Memo)
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Starting Balance on Card. List in Remaining Balance$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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Disbursements Total:$0.00
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Staple all receipts to this page
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Signaure of individual submitting form
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Signature of Local Extension Educator after reviewing
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Signature of individual entering info financial systemReviewed May 2020
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