EXPENSE REPORT

Expense Total_____________ Submitted By_____________________

For______________________ Date____________________________

ITEMIZATION

ITEM(S) PURCHASED AMOUNT

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TOTAL __________

FOR TREASURER’S USE:

CHECK AMOUNT:$__________________ CHECK #_________

PAID TO:__________________________

BREAKDOWN OF EXPENSES

(ie postage,office supplies,event,etc.)

___________________________________________ AMOUNT$________

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