CheckRequestTemplateSchepf2010
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ABCDEF
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IRVING LOCAL
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CHECK REQUISITION / EXPENSE VOUCHER
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Complete this form, attach ORIGINAL invoices or receipts, and return to:
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Cheryl Drews 3700 N. MacArthur Blvd Irving 75062 Phone: 469-544-0616
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Payable to (Name):
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Street or PO Box:
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City, State, ZIP:
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Date of Request:
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AcctDateDescriptionNet Amount
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Total Payment Requested$
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Submitted by:
(Signature)
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Position/Committee:
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Phone Number:
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FOR TREASURER'S USE
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Account:Approved by: Date Received:
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Check No.:Amount of Check: $Date Sent:
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Date of Check: Approval Signature (Treasurer)
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Expense Voucher
Account Numbers