West Bay PTO Reimbursement Form
Date Submitted:
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Month
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Day
Year
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Hour
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10
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30
40
50
Minutes
AM
PM
AM/PM Option
Submitted by:
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First Name
Last Name
E-mail:
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Phone Number:
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Area Code
Phone Number
Total amount requested:
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Attach receipt
Upload a File
must scan and upload receipt or leave in pto tray in the office
Cancel
of
Description of Expense:
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Budget Category Expense 1
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Apparel
Fall Fundraiser
Winter Fundraiser
Classroom Parties
Directory
Conference Food
Kindergarten Breakfast
Open House/BTS 101
Staff Appreciation
Kindness
Yearbook
Assemblies
Outdoor Ed
5th grade Graduation
Walking Club
Trophy Case
Playground
Teacher Discretionary
Admin Costs
Principal
Miscellaneous
Expense Amount 1
*
Budget Category Expense 2
Apparel
Fall Fundraiser
Winter Fundraiser
Classroom Parties
Directory
Conference Food
Kindergarten Breakfast
Open House/BTS 101
Staff Appreciation
Kindness
Yearbook
Assemblies
Outdoor Ed
5th grade Graduation
Walking Club
Trophy Case
Playground
Teacher Discretionary
Admin Costs
Principal
Miscellaneous
Expense Amount 2
Payment Info
Please select your payment choice
*
Mail check to me
Mail check to vendor
Leave in PTO tray at school
Leave in my box at school
Other
Address for mailing check or other instructions
Submit Form
Should be Empty: