PTA Disbursement Voucher

 

Payable to:                                                                                            Date needed:                            

Address:                                                                                                Phone:                                       

Check requester:                                                                                       Date:                                           

Account to Debit:                                                                                       Invoice #                                    

 

Use this form when requesting payment to a business.

 

 

 

Item	Place of Purchase	Amount
	Total:

(Invoice should be attached and sales tax will not be paid)

 

Remarks:

 

 

 

 

 

 

 

 

 

Treasurer’s Notes:

Date Invoice Received:________________

Plan of Work: _______ Motion: ______

Date Approved:_______ Paid: _______

Check Number: _____________________

Amount of Check: ____________________

 

 

 

 

 

 

 

Chairman’s signature__________________________

 

President’s signature___________________________

 

Treasurer’s signature___________________________