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<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><st1:City w=
:st=3D"on"><st1:place
 w:st=3D"on"><b style=3D'mso-bidi-font-weight:normal'><i style=3D'mso-bidi-=
font-style:
  normal'><span style=3D'font-size:18.0pt;font-family:"Trebuchet MS"'>Belle=
vue</span></i></b></st1:place></st1:City><b
style=3D'mso-bidi-font-weight:normal'><i style=3D'mso-bidi-font-style:norma=
l'><span
style=3D'font-size:18.0pt;font-family:"Trebuchet MS"'> PTSA Council 2.3<o:p=
></o:p></span></i></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><o:p>&nbsp;=
</o:p></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><u>REIMBURSEMENT VOUCHER REQUEST FORM<o:p></o:p></u></b></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><o:p>&nbsp;=
</o:p></p>

<table class=3DMsoTableGrid border=3D1 cellspacing=3D0 cellpadding=3D0 widt=
h=3D690
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xt 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:2=
7.4pt'>
  <p class=3DMsoNormal>Name</p>
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xt 1.0pt;
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xt 1.0pt;
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olid windowtext .5pt;
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r-left:
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olid windowtext .5pt;
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  <p class=3DMsoNormal>Date</p>
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r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
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  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:2=
6.5pt'>
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olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:44.5pt'>
  <p class=3DMsoNormal>Explanation of what money was used for</p>
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  <td width=3D465 valign=3Dtop style=3D'width:279.0pt;border-top:none;borde=
r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
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text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:4=
4.5pt'>
  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
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 <tr style=3D'mso-yfti-irow:5;height:26.5pt'>
  <td width=3D225 valign=3Dtop style=3D'width:135.0pt;border:solid windowte=
xt 1.0pt;
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olid windowtext .5pt;
  padding:0in 5.4pt 0in 5.4pt;height:26.5pt'>
  <p class=3DMsoNormal>Budget Category</p>
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r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
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  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:2=
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  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
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  <p class=3DMsoNormal>Check made out to</p>
  </td>
  <td width=3D465 valign=3Dtop style=3D'width:279.0pt;border-top:none;borde=
r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
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  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:2=
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  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
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 <tr style=3D'mso-yfti-irow:7;height:26.5pt'>
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r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
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r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
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  mso-border-alt:solid windowtext .5pt;padding:0in 5.4pt 0in 5.4pt;height:2=
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  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
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  padding:0in 5.4pt 0in 5.4pt;height:26.5pt'>
  <p class=3DMsoNormal>Treasurer&#8217;s signature</p>
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  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
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  <p class=3DMsoNormal><o:p>&nbsp;</o:p></p>
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<p class=3DMsoNormal style=3D'margin-left:1.0in'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal><i style=3D'mso-bidi-font-style:normal'><span
style=3D'font-size:9.0pt'>_________________________________________________=
_______________________________________________<o:p></o:p></span></i></p>

<p class=3DMsoNormal><i style=3D'mso-bidi-font-style:normal'><span
style=3D'font-size:9.0pt'>Attach receipt and cancelled check here.<o:p></o:=
p></span></i></p>

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