LEB PAC Expense Reimbursement Form

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2	Download or make a copy of this form to edit it. See https://lebpac.ca/reimbursement for additional instructions.
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4	LEB PAC Expense Reimbursement Form
5	(L’Association des Parents de L’École Bilingue de Vancouver)
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7	Date:	Delivery (please check one)
8	Name:		Please mail cheque to address.
9	Chq Payable to:
10	Contact Tel #:		Pick up Cheque from PAC Mailbox
11	Email Address:
12	Mailing Address:	Notes:
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18	Program:	Please indicate which program this expense applies to (e.g., sushi, Welcome Back BBQ).
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20	PURCHASE DETAILS (Materials / Supplier or Store / Applicable Program)		EXPENSE AMOUNT
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28	Total Amount for Reimbursement		$0.00
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30	Submit this form, along with receipts/invoices, to treasurer@lebpac.ca.
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