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Expense Form Date:__________________ Amount Requested:____________________ Payable To: ___________________________ Address of Payee: _______________________________________________ _______________________________________________ Phone Number of Payee__________________________________________ FHYC Bridge Liaison: _____________________________________________ Name and Phone # of Sponsoring Committee Chair: __________________________________________________Initial________ Purpose of Request:
Committees to charge/amount to charge: Committee______________________________ Amount_________ Committee______________________________ Amount_________ Committee______________________________ Amount________ Committee______________________________ Amount_________
Receipts / Invoices Attached?
Bridge Liaison/Committee Chair (Note: the person signing the “Approval” cannot be the same as the “Payable to.”) The FHYC Treasurer shall not be required to make a payment unless this form is completed. In order for the Expense Form to be considered complete, it must contain all required information, be accompanied by receipts or invoices as appropriate, and signed by the Bridge Liaison or his/her appointed designate. (Appointed designate cannot be the Committee Chair.) Email submission is acceptable, and approval by email in lieu of a signature is acceptable. Submit Forms and Receipts to: Rose Voss-Litke, Treasurer; 5014 Bucco Reef Rd |