Ozark Advertising & Promotion CommissionPayment Request2026 Funding
Date of Request
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Issue Choice To (Payable Organization)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Event
Date of Event
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Total Amount Requested
Amount Received Last Year (If Applicable)
Itemized Detail for Above Total
*Attach receipts and tickets*
*Attach receipts and tickets*
Rows
Date
Amount
Paid To
Reason
1
2
3
4
5
6
A & P Line Item to Be Charged
Special Instructions
Payment Request and invoice tickets must be turned in no later than 30 days after the date of the event.
Allow up to 10 days for processing and payment by A & P Commission.
Event invoices must be submitted no later than December 15, 2026.
Requested By
First Name
Last Name
Date (Requested By)
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Prepared By
First Name
Last Name
Date (Prepared By)
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Authorized by A & P General
First Name
Last Name
Date (Authorized by A & P General)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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