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APA - DIVISION ACCOUNTING SERVICES
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REIMBURSEMENT / DISBURSEMENT REQUEST
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DIVISION #: 27SECTION #: (if applicable)
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Submit form via email: divacct@apa.org
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Payable to: W8 / W9
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Address: NEW VENDOR
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RECEIPT / PROOF PAID
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Telephone: INTERNATIONAL EXPENSE **
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Email: ACH PAYMENT METHOD
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EXPENSES BY ACCOUNTAMOUNTDESCRIPTION / REASONBUDGET CODE*
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55010CONSULTANT/CONTRACTUAL FEES$
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56010CONVENTION & MEETINGS$
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56510TRAVEL$
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56610CONTINUING EDUCATION FEES$
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56710HONORARIUM & STIPENDS$
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56810ROYALTIES EXPENSE$
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57010OFFICE RELATED$
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57020PRINTING/PUBS/DUPLICATING$
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57030POSTAGE$
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57040DELIVERY & MESSENGER SERVICE$
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57050TELEPHONE & FAX$
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57060BANK CHARGES & FEES$
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57070DUES/MEMBERSHIPS EXP$
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58010CONTRIBUTION & DONATIONS EXP$
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58020GRANTS TO OTHER ORGANIZATIONS$
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58030AWARDS TO OTHER ORGS/INDIVS$
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59010RESALE GOODS / SALES$
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59110ADVERTISING$
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**INVESTMENT ACCOUNT TRANSFER$
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(12030)TRAVEL ADVANCES$
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(14010)PREPAID EXPENSES$
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(14200)DEPOSITS & OTHER ADVANCES$
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TOTAL : $ -
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Add'l instruction or information for accounting:
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TREASURER:
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and/orSignatureDate
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PRESIDENT:
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SignatureDate
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**Must provide validation for Foreign Exchange reimbursements (ex: bank statement or copy of website to support conversion calculation)
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**Budget Code required for Divisions with pre-established codes
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