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2.06a-Reimbursement Voucher
Handle: Document-14228
Owner: Carrell, Janea (User-136, 05492:EVERETT)DS
Tuesday, January 8, 2008 11:49:26 AM PST
Friday, October 28, 2022 08:47:29 AM PDT
Modified By: Diaz, Ailienette (User-392, 08810:EVERETT)DS
Locked By:
  • THIS FORM IS TO BE USED TO REQUEST REIMBURSEMENT BY INDIVIDUALS WHO MAKE PURCHASES ON
BEHALF OF EVERETT PUBLIC SCHOOLS.
  • LOCATION/ADDRESS:
PAYMENT FOR THE FOLLOWING:ACCOUNT CODE:CHECK NO.: CHECK DATE:AUTHORIZED BY:Rev.
  • ORIGINAL RECEIPTS MUST BE ATTACHED.
  • PAYEE: AMOUNT:
(PLEASE PRINT)PAYEE SIGNATURE:I hereby certify under penalty of perjury that this is a true and correct claim for necessary expenses incurred by meand that no payment has been received by me on account thereof.
  • NO 2 REIMBURSEMENT VOUCHER
EVERETT PUBLIC SCHOOLS DIST.
  • 08/17 ...
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