ERRWC EXPENSE REPORT
ERRWC Officer/ Member: ________________________
Date: _________________________ 2011
DISBURSEMENT: (please specify) AMOUNT
Supplies ……………………………. $ __________
Postage ..…..………………………… $ __________
Printing & Copying …….…………… $__________
Memorial/ Tribute ……………………… $ __________
Fundraiser …………………………… $ __________
OTHER/EXPLAIN:______________ $ __________
TOTAL………………………………… $__________
Make Check Payable To: _______________________
Address: ________________________ ___________
City/State/Zip________________________________
This Form with ORIGINAL RECEIPTS ATTACHED must be sent for approval to:
Lisa Campbell, ERRWC Treasurer, 3328 Station House Rd., Chesapeake, VA 23321
Approved By: ________ Date: ______/______/______
For ERRWC Treasurer USE ONLY
Date Received: ______/_____/______ Date Paid: _____/_____/_____ Check # _________
Amount $_________ Date Posted_______/_______/_____
