ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
Paly TEAM
2
Expense Reimbursement - print out or make a copy of the digital file to fill out.
3
Please complete ALL of the following:
4
Date:
5
Your Name:
6
Your Phone #:
7
Your Email Address:
8
Make Check Payable to:
9
Mail Check to:
10
11
12
13
Please include digital scan of your receipt(s) / invoice(s) in email.
14
Please submit your expense request within 45 days of expense date.
15
16
Line #DateExpense AmountExpense DescriptionEvent / Reason
17
1
18
2
19
3
20
4
21
5
22
6
23
24
25
Total Expenses:
26
27
Email reimbursement request to:Paly TEAM Treasurer email:
28
palyteamtreasurer@gmail.com
29
30
31
32
33
34
Questions? Email PalyTeamTreasurer@gmail.com
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100