St. James Cathedral Expense Reimbursement Form

Expense Reimbursement Form
Instructions: Please review and include all information requested in the expense reimbursement form in order to to avoid any delays in payment of approved reimbursements.

Additionally, please be advised that all purchases being made on behalf of St. James Cathedral require a SUBMITTED and APPROVED Commission Funds Request Form prior to purchase. Purchases made without approval, will be reviewed but may result in non-payment pending review of request.

If you have any questions please contact Roxann at 559-439-5011 Ext. 701.
TODAY'S DATE

MonthDayYear
Date
PAYABLE TO*

First NameMiddle NameLast Name
MAILING ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER*

Area CodePhone Number
EMAIL*
Your E-mail Address
COMMISSION*
Expenses List

NOTE: PLEASE LIST ITEMS PURCHASED AND ATTACHED COPIES OF INVOICES OR RECEIPTS

Expense Reimbursement Form