Reimbursement/Check Request

Instructions:

Please fill out completely with description of reimbursement and breakdown of expenses.
Attach a file/picture/scan of each receipt or supporting documentation.
A receipt of your submitted request will be e-mailed to you (please keep for your records).
The treasurer will e-mail you when your check is ready to be picked up at the school or has been mailed to you.
Questions? E-mail stoneycreekhstreasurer@gmail.com.
Please allow at least a week for processing.

Pay to Name

Address

Phone Number

Email

Grand Total Amount for Reimbursement/Payment

How should the check be delivered? (reset)

Sent via mail Left in the SCHS office for pickup Will pick up from Treasurer's house

Committee or Expense Account

Battle of the Books Coat Check - Homecoming or Winter Formal District PTA Council Dues Founders Day Green Schools Health and Wellness Insurance Leadership Ambassadors Leadership Ambassador Camp Media Center Membership Toolkit Michigan PTA Membership Dues Michigan PTA Unit Dues Miscellaneous Expense Monthly Munchies or Staff Appreciation Parent Enrichment Events Printing and Mailing PTA Conventions or Workshops Reflections Refreshments for Students Robotics Rochester Area Neighborhood House Rochester Area Youth Assistance SCHS Enrichments - Principal's Ask Senior All Night Party Senior Breakfast Student Grants Teacher Grants Virtual Campus or ACE Donations OTHER

Receipt

Brief Description of Items Purchased or Reason for Payment

Receipt2

Brief Description of Items Purchased or Reason for Payment

Receipt3

Brief Description of Items Purchased or Reason for Payment

Receipt4

Brief Description of Items Purchased or Reason for Payment

If you have additional receipts, please email stoneycreekhstreasurer@gmail.com.