Reimbursement Request Form - 2025-26.xlsx

	A	B	D	E	F	G	H
1	EXPENSE REIMBURSEMENT FORM
2
3	REIMBURSEMENT:
4	PAYPAL			CHECK
5	ACCOUNT INFO			PAYABLE TO:
6				ADDRESS
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8	VENDOR PAYMENT:
9	PAYPAL			CHECK
10	ACCOUNT INFO			PAYABLE TO:
11				ADDRESS
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13	REQUESTORS NAME			PHONE NUMBER
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16	EVENT / COMMITTEE
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19	DATE SUBMITTED			DATE NEEDED
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22	DESCRIPTION OF EXPENSE
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26	LIST OF EXPENSES
27	DATE	VENDOR	DESCRIPTION				AMOUNT
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36						TOTAL	-
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39	APPROVED BY PTO OFFICER				DATE
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43	*PLEASE ATTACH RECEIPT AND TURN INTO PTO TREASURER*
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45	FOR TREASURER'S USE ONLY:
46	DATE RECEIVED
47	PAYPAL REFERENCE/CHECK #
48	DATE REIMBUSRENT PROCESSED
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