Expense Reimbursement Form
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New Prague Area Figure Skating Club
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EXPENSE REIMBURSEMENT FORM(please put under the appropriate budget and get initialed signature from membership chair )
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NAME:
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Receipt DatePayeeDescriptionBudget/ApprovalAmount
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4/16/2020
Andrea Burkhardsmeier
StampsAdministration$11.00
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TOTAL $354.94
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I certify that the out-of-pocket expenses listed on this form were incurred on behalf of the
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New Prague Area Figure Skating Club and hereby request reimbursement for those expenses.
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Signature:
David & Shannon Tupy
Treasurer:
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Date :March 14, 2020Reimbursement Date _____________
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Check Number _____________
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Reimbursement Request must be submitted within 90 days of the expenditure, or the request will be denied.
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Reimbursement will be paid within 14 days of the expense reimbursement form being turned into the treasure.
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If you need payment prior to the 2 weeks or would like it mailed, please include a self addressed stamped envelope.
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** NPAFSC is a tax exempt organization, therefore all reimbursment payments will exclude sales tax.
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PLEASE ATTACH INVOICE OR RECEIPT
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