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Richland Waves: Home
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Attach Original Receipts Here (no copies)
Financial Reimbursement Request Richland Waves DATE OF REQUEST: ___________________ REQUESTOR’S NAME: ________________________________________________________________ Print Clearly Please REASON FOR EXPENSE: ______________________________________________________________ Budget Item: Office Supplies
$______________________
Concessions
$______________________
Heat Sheets
$______________________
Other: _____________________________________________
$______________________
TOTAL REIMBURSEMENT REQUEST
$______________________
Total
SIGNATURE OF REQUESTOR: _____________________________________________________
ALL CHECK REQUESTS MUST BE ACCOMPANIED BY ORIGINAL RECEIPTS.___ ANY REQUEST OVER $100 REQUIRES PRIOR APPROVAL BY THE RICHLAND WAVES SWIM TEAM EXEC BOARD.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>STOP
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