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PTA Expense Reimbursement Form
Please note: receipts must be attached in order for reimbursement to be processed.
Thank you!
Reimbursement Information
Check Payable To:
Total Amount For Reimbursement:
Should check be mailed or delivered to you at the next meeting?
Mail the Check
Deliver the Check at the next meeting
If check is to be mailed, provide the address.
Expenses for Reimbursement
Expense 1 - Amount
Expense Is For:
Place of Purchase
Attach Receipt
Expense 2 - Amount
Expense Is For:
Place of Purchase
Attach Receipt
Expense 3 - Amount
Expense Is For:
Place of Purchase
Attach Receipt
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