Amigos de las Americas – Chicago North Chapter:  Request for Reimbursement

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Directions: Print this expense form on your printer.  Complete expense details below. Send completed form along with related receipts to Tracy Todd-Lewis (735 Judson Evanston 60202) for approval. These documents will be approved, then forwarded to Mike Heinrich (Treasurer) for reimbursement.

TO: ______________________________ FROM: _________________________________

DATE: ___________________________ ADDRESS: _____________________________

 

Expense Categories:

 

bulletTrainer Trip
bulletChapter Leader Trip
bulletTraining
bulletRecruiting

 

bulletAdministration
bulletPrinting
bulletParties
bulletGifts

 

bulletRetreats
bulletField Supplies
bulletOther (please explain)

 

 

DATE

ITEM

CATEGORY

PURPOSE

AMOUNT

         
         
         
         
         
     

TOTAL:

 

I hereby certify that the expenses listed above were incurred for purposes directly related to the purposes of Amigos de las Americas, and that all of the materials purchased were used for matters exclusively related to the business of Amigos de las Americas.

Dated: __________________________ Signed: _____________________________

Approved: __________________________

 

For changes to this webpage contact:  webmaster@amigoschicago.org