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ADHS CHORAL BOOSTERS
CHECK REQUEST FORM
Date: ______________
Requested by: __________________
Authorized by: __________________ (Joy Clayton, Choral Booster President or Treasurer)
Pay to: ____________________
Payee’s Mailing Address: _____________________
_____________________
Indicate alternate way of delivering payment if not to be mailed: _____________ ___________________________________________________________________
Amount of Payment: $______________
Date Needed: _________________
Purpose of Expenditure: ____________________________________________
NOTE: Attach all receipts or invoices validating this request to this form
* * * * * * *
(This section to be completed by Treasurer)
Account Name Posted To: _________________________
PAID BY CHECK #___________ DATE: ___________