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ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZ
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MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207
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REQUEST FOR PAYMENT
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MAKE CHECK PAYABLE TO:
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NAME:DATE:
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ADDRESS:VENDOR #:
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CITY, STATE, ZIP
PURCHASE ORDER #:
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APPROVAL
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Charge to:
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(Department Chair/Sponsor)(Date)
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Requested by:
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(Principal/Asst. Principal)(Date)
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Building:
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(Business Office)(Date)
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ACCOUNT NUMBER:COMMENT:
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Itemize expenditures and attach bids or other pertinent papersAmount
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For Office Use Only
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Check TypeImprest Check #Date
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FUNDTYPELOCFUNCOBJSJSRCFNDAMOUNT DESCRIPTIONAMOUNT
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