FABC VOUCHER/REIMBURSEMENT FORM

FABC VOUCHER/REIMBURSEMENT FORM
Capital Account

Operating AccountCapital AccountOther Account
Check Number
Check Date

MonthDayYear
Date
Check Amount
DATE

MonthDayYear
Date
For "Office Completion Only"
To: Finance Committee
From
Full Name
Email
example@example.com
Ministry
Ministry Name
Make Check Payable to:
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Needed
Reason for Request
Amount:
Comments
Purchaser
Date

MonthDayYear
Date
Ministry Leader Approval
Date

MonthDayYear
Date
Chair, Finance Committee Approval
Date

MonthDayYear
Date
Note: if more than one (1) receipt is attached, please complete section below.

Vouchers must be completed and include required documentation. Incomplete vouchers will not be processed

Please list each receipt separately:

	Date	Vendor/Supplier	Amount	Purpose or Comments