LVE PTO Reimbursement Form
Your Name
*
First Name
Last Name
Today's Date
-
Month
-
Day
Year
Date
Description of Item
*
Reimbursement Amount
*
Please attach a copy of your receipt or invoice, or attach a picture below.
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If applicable, please explain any difference between amount approved and amount for reimbursement
Type of Reimbursement
*
Please Select
Classroom Funding Request
Room Party
Teacher/Staff Appreciation
Chat & Chew
5th Grade Farewell
Glow Dance
Eagle Bash
Movie Night
Feather the Nest
Sneak Peak/Kindergarten Roundup (Parent Outreach)
Other
If other, specify below
Who to make check payable to:
*
Please specify drop off check at school or provide address.
*
Additional Information
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