• PTA

    Van Wyck Junior High School

    6 Hillside Lake Drive, Wappingers Falls, NY 12590

    FUND REQUEST (year 2016-2017)

     

     

    Requestor:                                                                                                       Phone:                                          

     

    Request Date:                                                                                                                                                           

     

    Date Needed By:                                                                                                                                                    

     

    Committee:                                                                                                                                                               

     

    Total Amount of Expenditure:  $                                                                                                                         

     

    IS THIS A CREDIT CARD EXPENSE    YES     NO       

     

    MAKE CHECK PAYABLE TO                                                                                                                       

     

    Reason for Expenditure (Attach additional documentation if needed):

     _______________________________________________________________________________________________________________

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    PLEASE ATTACH ALL ORIGINAL RECEIPTS AND PAID INVOICES.

     

    Check #                      has been issued in the amount of $                               

     

    Date of Issue:                      

     

    +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

    MUST BE APPROVED BY TWO PTA EXECUTIVE BOARD MEMBERS

     

    PTA EXECUTIVE BOARD MEMBER SIGNATURE                                                                                                  

     

    PTA EXECUTIVE BOARD MEMBER SIGNATURE