Check Request

Please choose a fund: Operating Fund Special Funds Endowment Capital Campaign

Date

Type of Expense

Advance Reimbursement Disbursement

Receipts Attached?

YES NO

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Name of Payee

Address

Total Amount of this request:

Budget Category

Additional Notes

Submitted by (Name)

Description

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If check requests are turned in by Friday at noon, checks will be available by the following Thursday.