SALISBURY SHAG CLUB

Expense Voucher

                  

                        Date: _____________________

 

        Make Check Payable To:________________________ Voucher Submitted By:_________________________

 

        Name _____________________________________ Name ______________________________________

 

        Address ___________________________________Address______________________________________

 

         City __________________ Zip _______________  City ____________________  Zip _______________

                                                                                                                                                                                            

       Telephone No. _____________________________

 

         DESCRIPTION OF EXPENDITURE:  _________________________________________________________

 

         _____________________________________________________________________________________

 

        _____________________________________________________________________________________

        

         ______________________________________________________________________________________   

     

	TOTAL

        *Receipts must be attached in order to receive approval for reimbursement.
         Direct expenditures must be itemized.  Attach bills for payment.

     VOUCHER SUBMITTED BY: ____________________________________________________

                                                                                          (SIGNATURE)

                                 

     APPROVED BY: _____________________ DATE OF CHECK ____ CHECK NO. __________.