Check Request Form - DOC by cRoe2oP

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									                                         Check Request Form
Check made out to (name):


Amount:          $                                       Location:

(Receipts must be attached for reimbursements.)

Expense Category(check one)
    Building Supplies                             Office Equipment        Worship Equip
    Childrens Ministry                            Office Supplies         Worship Supplies
    Church Equipment                              Pastoral                Youth Ministry
    Church Supplies                               Production              Other, describe
    Coffee Supplies                               Small Group

Send check to:
  Name, if different that above
  Address


Signature of Requestor:                                               Date:

Signature of Pastor/Approver:                                         Date:


    Instructions:
    1. Complete information above
    2. Attach original receipts
    3. Obtain pastor or immediate supervisor’s approval, as appropriate
    4. Send to – CTK, P.O. Box 765, Burlington, WA 98233
    5. Questions to centralservices@ctkonline.com or (888) 421-4CTK ext. 801
                                                                                        05/04/05

								
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