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Highland Hills Ward

Check/Invoice/Reference Number

Expense/Reimbursement Form Date:

Instructions:
Please fill out this form completely and obtain all necessary
approvals prior to submitting to Ward Clerk. Please attach all
sales slips, invoices, or other documentation in support of
this request.

Classification:

Budget
Budget Payee: _________________________
Distribution Center
Stake Copier
Items/Purpose:
Other
_____________________________
Scouts
Girl's Camp
Other (Specify) Auxiliary Head/Priesthood Leader

___________________________
Fast Offering
Housing/Rent
Signature:______________________
Food
Medical
Date: _________________________
Utilities
Other
Bishop: Michael J. Bateman
Signature:______________________

Amount: $_____________________

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