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EDEN HALL |
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PTO
Teacher Reimbursement Form |
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Classroom
Start-Up Expenses |
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2009 -
2010 School Year |
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Date: |
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Name: |
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Email: |
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Grade
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4 |
5 |
6 |
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Procedures: |
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·
Tape the original detailed receipt for each purchase to the back of this
form or to another sheet of paper.
Please do not staple receipts to this form.
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Circle or highlight the amounts each receipt requested for reimbursement.
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Place this completed form and receipts in an envelope addressed to PTO
Treasurer and place in the PTO mailbox located in the front office.
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Faculty members should photocopy reimbursement requests and receipts for
their own records.
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**Faculty members must submit their reimbursement
request for up to $50 by 10/31/2008.***
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Reimbursement checks will be placed in the faculty member’s school
mailbox within 10 days of receipt.
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Date of
Purchase |
Description |
Total $
Amount |
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Total Due: |
$ |
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Questions? |
Treasurer: |
Jodi Mann |
Assistant
Treasurer: |
Terry Pomerleau |
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email: |
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home: |
(724) 799-2076 |
(724) 444-6010 |
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cell: |
(724) 612-4008 |
(724) 816-2568 |
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