Expense Reimbursement Form

Expenses List*

	Purchase Date	Vendor	Product/Service Description	Cost
1
2
3
4
5

Total Reinbursement*
Notes
Upload Invoice Copy
Attact a copy of the receipt. If you cannot scan the receipt, simply take a photo with your phone and email the photo to treasurer@thendaramountainclub.com

Don't forget to UPLOAD once you Drag and Drop the file.
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I certify that all information entered above is valid and true.
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Signature*

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