ABCDEFGHIJKL
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MAKE A COPY - Expense Reimbursement Form
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CARPENTER PTO (2025-26)
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EVENT/PROGRAM:
Valentines Party
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DATE OF PURCHASE:
2/9/26
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PLACE OF PURCHASE:
Amazon.
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AMOUNT OF PURCHASE:
$29
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Staple Receipt(s) to Reimbursement Form
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OR
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Email pic of receipt to carpenterptotreasurer@gmail.com
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ITEMS PURCHASED:
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Valentines Day Bingo Cards and Small Squishes for winners
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PURCHASED AMOUNT TO BE REIMBURSED TO:
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Zelle ID: Email or phone / VENMO: @____
7089552810
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ZELLE:VENMO:
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Name: Samantha Kirkby
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Address:2125 Milton Ave Park Ridge IL 60068
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Phone Number: 708-955-2810
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Email:skirkby15@gmail.com
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NOTE:
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Please use Zelle with my phone number 708-955-2810
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TREASURER'S USE ONLY:
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Date Paid:
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Amount:
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Check#
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