St. Clare School

Volunteer Reimbursement Statement 2007-08

 

This statement is provided to determine the amount to reimburse an employee for individual expenses incurred while carrying out school-related activities.  Please indicate your expense and check your computation carefully.  Attach all ORIGINAL receipts.

 

 

Reason for Expense (Activity, Place, Date):                                                                                 Date __________

 

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Detailed Expense:             Computation                                                                                   Total

                                   

Item                  Description

1.       ______________      _______________________________________                      $ __________________

2.       ______________      _______________________________________                         __________________

3.       ______________      _______________________________________                         __________________

4.       ______________      _______________________________________                         __________________

5.       ______________      _______________________________________                         __________________

6.       ______________      _______________________________________                         __________________

                                                                                                                          

                                                                                                                                          TOTAL:      $ __________________

 

 

Please Type or Print

Make check payable to: ______________________________________________ in care of grade: _______________

 

 

Send check to (school or outside address): ____________________________________________________________

 

 

Volunteer Signature: ________________________________ Parent Teacher Council Treasurer Signature: ___________________

 

Printed Name: _____________________________________ Printed Name: __________________________________

 

 

For Parent Teacher Council Use Only:

Line Item Charged __________________  Line Item Description _________________________ Item Cost: _________