Newcomers’
and Neighbors’ Club of Randolph
Request
for Reimbursement
Name ________________________________________ Phone:_________________
Address ______________________________________________________________
_____________________________________________________________________
Email
Address__________________________________________________________
|
Expense |
Purpose |
Amount |
|
Meeting
Expense |
|
|
|
Supplies |
|
|
|
Copying/Printing |
|
|
|
Telephone |
|
|
|
Postage
Stamps |
|
|
|
Advertising |
|
|
|
Donations |
|
|
|
Other
(Please Specify) |
|
|
|
Other
(Please Specify) |
|
|
|
Total
Amount to be Reimbursed |
$ |
|
Please Note: This form must be
completed and accompanied by a receipt before funds can be reimbursed.
Approval
must be received on amounts over $30.00.
APPROVAL
SIGNATURE (if necessary): ______________________________________________
Send
to: Jennifer Bona, Treasurer
Newcomers
and Neighbors Club of Randolph
P.O.
Box 142
Mt.
Freedom, NJ 07970
|
For
Office Use Only: Check
No._______________
Date Paid_______________
Amount of Check_______________ |