You are on page 1of 1

Christ Child Society Summit

REQUEST FOR REIMBURSEMENT


Please complete and return with receipts to Maura Perier, Treasurer 3 Plymouth
Rd Summit
Date Submitted _________________
Total Amount Requested $_____________________
Reimbursement Requested By______________________________________________
Project/Category__________________________________________________________
(e.g. administrative, layettes, library project, etc.)
Date Funds are Needed____________________________________________________
Pay to the order of______________________________________________________
Signature___________________________________________________________
Reimbursement For (please itemize with a break-down in the cost, and please attach
receipt)
Thank you for the time you spent volunteering for the Christ Child Society!
Please remember to submit your report of the event as well as the write up for the
Newsletter.
________________________________________________

Check Number__________________________________________________________
Signature________________________________________________________________
Date___________________________________________________________________
Amount______________________________________________________________

You might also like