Check Request Form Excel.xlsx

	A	B	C	D	E
1
2	Check Request
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4	Remit to:
5	Name	Kathleen Stern
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7	Mailing Address	15 Englewood Ct
8	Mailing Address	Montgomery TX 77356
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10	Phone	708-334-5244
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12		Vendor	Amount	Description	Budget category
13		Weebly	$ 230.26	BLO Website proplan 2yr renewal
14		Weebly	$ 125.70	BLO Domain renewal 10 yr
15			$ -
16			$ -
17			$ -
18			$ -
19			$ -
20			$ -
21		TOTAL:	$ 355.96
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23		(Please provide receipts to Treasurer)
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26	------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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28	Treasurer Use Only		Amount
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30	Budget Line
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32	Budget Line
33
34		Total
35		Total
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38	Approved by			(President or Treasurer)
39
40
41	Check #			Date mailed
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