MORRISVILLE ELEMENTARY SCHOOL PTA

CHECK REQUEST

 

 

Complete, attach receipts, invoices or appropriate backup and submit to PTA Treasurer via Treasurer’s box in PTA office or PTA mailbox in the teacher’s workroom.

 

A SEPERATE CHECK REQUEST MUST BE COMPLETED FOR EACH BUDGET/ACCT#

 

Pay To: ________________________________________                Date: ______________

 

Address: _______________________________________

 

City, St. Zip _____________________________________

 

Amount Requested: $________________            Budget/ACCT#: _____________________

 

******Sales Tax:            $________________(Calculate and indicate the amount of sales tax you paid.)

 

Purpose of Expenditure:_____________________________________________________________________

 

 

Requested by: ____________________________________

 

 

Choose one of the following:

 

            _____ 1) Send my reimbursement home with my child

                                    Child’s name ______________________                Teacher ______________________

 

            _____ 2) I will pick my check up in the PTA room mailbox

 

            ______3)Please mail my check to the above address.  I have enclosed a self addressed stamped envelope.

 

            ______4)Please pay vendor directly

 

            (IF NO CHOICE IS MADE YOUR REIMBURSEMENT WILL BE IN THE PTA ROOM MAILBOX)

 

 

 

…………………………………………………………………………………………………………………………

FOR TREASURERS USE ONLY

 

 

Date paid: __________            Check #: ___________            Check Amount: $_________  Sales Tax: $________

 

 

Treasurer’s Signature: ________________________________________________________________________