Vista Irvine Chapter
Payment Voucher Request
(to be completed by requestor)
DATE
*
-
Month
-
Day
Year
Date
GRADE LEVEL/OR EVENT
*
REQUESTOR NAME
*
REQUESTOR EMAIL
*
APPROVER NAME:
*
APPROVER EMAIL
*
AMOUNT TO PAY
*
Please describe what was purchased
*
PLEASE PROVIDE NAME OF PAYEE
*
PLEASE PROVIDE ADDRESS OF PAYEE (OR INDICATE OTHER DISTRIBUTION METHOD)
*
Please read and agree to the following: This form will be routed to the designated approver after submitted. Once the approver acts, the form will be routed to the NCL Treasurer for payment. Payment requires email approval from an authorized approver (Committee Chair, VP/GLAD or Treasurer) and receipt of relevant receipts at VINCL Mailbox or via attachment : National Charity League Vista Irvine Chapter 4790 Irvine Blvd, #105-126 Irvine, CA 92620 By accepting below, you are confirming this is a valid NCL expense which has been approved by an authorized approver (Commitee Chair, VP/GLAD or Treasurer):
*
Please Select
Accept
Decline
Please attach receipt(s) if not mailing:
Select File
Cancel
of
Please click submit button to send this form to the Treasurer.
Click to edit
E-mail
Submit
Should be Empty: