Unqua Elementary School PTA
Expense Voucher
Request for Payment
This form is to be used to request reimbursement for expenses paid on behalf
of the Unqua PTA or to request direct payment to a vendor for an Unqua
PTA expense. Please attach all documentation, i.e.original invoices or
receipts showing payments made, to this Request for Payment.
Committee Chairperson must sign below.
The Unqua PTA is a Tax Exempt Organization. A copy of the Tax Exempt
Organization Certification is available from the PTA Treasurer.
| Make check payable to__________________________________________________________ |
| |
| Phone Number_________________________ | | Amount_____________ |
| |
| Committee or Type of Expense | Amount |
| Committee Chairperson |
_____________________________________________ |
Date |
_____________________ |
Phone Number |
_____________________ |
Check # |
_____________________ |
Check date |
_____________________ |