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Helen Keller Elementary School > Parent Communication Council

PCC Reimbursement

 

 

Helen Keller School – PCC Request Form

“Alone we can do so little, together we can do so much."

 

 

 

For Reimbursement

 

 

 

Date of Request:

 

Name of Function/Program:

 

Date of Function/Program:

 

Person Requesting Payment (Name & Phone):

 

Committee Contact Person (Name & Phone):

 

Grade(s) Participating in Function/Program:

 

Included in Annual Budget Y/N or

Approved at Meeting

Yes/No (please circle)

If no, approved at meeting?  Date/No:

Total Amount Requested:

 

Check to be Made Out to:

 

If check to be mailed, please include address here:

 

 

 

 

 

 

 

Notes:

√        Receipt  must be submitted prior to reimbursement

√        Please submit hardcopy, with receipt, to Lynn Waples or PCC Board Member (alternatively, you may leave completed form with attached receipt in the PCC Treasurer’s box at Keller and send an email to Lynn at awaples@verizon.net).

√        Questions – please contact via email address or phone #508-541-4177

√        Please allow 7 days for processing

 

 

Details (to be completed by Treasurer):

 

Check #:

 

 

Initials:

LW

 

Total:

 

 

Date Issued:

 

 

 

23813  
Updated: November 28, 2008  



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