Reimbursement Form
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JORDAN OAKS 5TH WARD AUTHORIZATION FOR REIMBURSEMENT MAKE CHECKS PAYABLE TO:
AMOUNT: (Attach receipts for total purchase)
SALES TAX: (6.350% along Wasatch Front)
$
$
REASON FOR PURCHASE:
CLASSIFICATION: BUDGET Agent Bishop Cub Scouts Elders Quorum Explorer Scouts High Priests Primary Relief Society Scouts Sunday School
Varsity Scouts Ward Activities Ward Operations YM/YW Joint Young Men Young Women Young Single Adults Youth Conference Other:
FAST OFFERINGS (H) Housing/Rent (F) Food (M) Medical (U) Utilities (O) Other
Leader:
Bishopric:
Clerk:
Check #:
OTHER Church Magazines Cub Scouts Explorer Scouts Fundraiser Scouts Sub For Santa Varsity Scouts Young Women Other:
Date:
JORDAN OAKS 5TH WARD AUTHORIZATION FOR REIMBURSEMENT MAKE CHECKS PAYABLE TO:
AMOUNT: (Attach receipts for total purchase)
SALES TAX:
$
(6.350% along Wasatch Front)
$
REASON FOR PURCHASE: CLASSIFICATION: BUDGET Agent Bishop Cub Scouts Elders Quorum Explorer Scouts High Priests Primary Relief Society Scouts Sunday School
Varsity Scouts Ward Activities Ward Operations YM/YW Joint Young Men Young Women Young Single Adults Youth Conference Other:
FAST OFFERINGS (H) Housing/Rent (F) Food (M) Medical (U) Utilities (O) Other
Leader:
Bishopric:
Clerk:
Check #:
OTHER Church Magazines Cub Scouts Explorer Scouts Fundraiser Scouts Sub For Santa Varsity Scouts Young Women Other:
Date:
AMOUNT: (Attach receipts for total purchase)
SALES TAX: (6.350% along Wasatch Front)
$
$
REASON FOR PURCHASE:
CLASSIFICATION: BUDGET Agent Bishop Cub Scouts Elders Quorum Explorer Scouts High Priests Primary Relief Society Scouts Sunday School
Varsity Scouts Ward Activities Ward Operations YM/YW Joint Young Men Young Women Young Single Adults Youth Conference Other:
FAST OFFERINGS (H) Housing/Rent (F) Food (M) Medical (U) Utilities (O) Other
Leader:
Bishopric:
Clerk:
Check #:
OTHER Church Magazines Cub Scouts Explorer Scouts Fundraiser Scouts Sub For Santa Varsity Scouts Young Women Other:
Date:
JORDAN OAKS 5TH WARD AUTHORIZATION FOR REIMBURSEMENT MAKE CHECKS PAYABLE TO:
AMOUNT: (Attach receipts for total purchase)
SALES TAX:
$
(6.350% along Wasatch Front)
$
REASON FOR PURCHASE: CLASSIFICATION: BUDGET Agent Bishop Cub Scouts Elders Quorum Explorer Scouts High Priests Primary Relief Society Scouts Sunday School
Varsity Scouts Ward Activities Ward Operations YM/YW Joint Young Men Young Women Young Single Adults Youth Conference Other:
FAST OFFERINGS (H) Housing/Rent (F) Food (M) Medical (U) Utilities (O) Other
Leader:
Bishopric:
Clerk:
Check #:
OTHER Church Magazines Cub Scouts Explorer Scouts Fundraiser Scouts Sub For Santa Varsity Scouts Young Women Other:
Date:
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