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					                                       Fundraiser Request
Fundraiser type:

Purpose:
Date:
Time:

Proposed Revenue:
Items sold                                    Quantity       Unit Price              Total

                                                                               $             -
                                                                               $             -

Total Revenue:                                                                 $             -

Proposed Expenditures:
Items Purchased for re-sale                   Quantity       Unit Price              Total

                                                                               $             -
                                                                               $             -


Total Expenditures:                                                            $             -


               Net Surplus:                                                    $             -

Explain how the surplus will be used:




I, the sponsor, agree to act in accordance with the fundraising guidelines as outlined in the
ACPS SAF Manual for the fundraiser request above. I am aware that I will be held
accountable for all monies collected. I agree to turn in all funds to the school treasurer on a
daily basis and will submit a Fundraising Close Out Report within 7 days after the end of the
fundraiser.




Sponsor Signature                                                             Date

I, the principal, have reviewed the above request. I am aware that this fundraiser MUST be
self balanced and the school operating budget can not be used to subsidize any costs
related to this fundraiser.

REVIEWED & APPROVED:                               DENIED:


Principal Signature                                                           Date
               Fundraiser Close-Out Report
Fundraiser type:


Date:
Time:

ACTUAL SALES:
Items sold                            Quantity Unit Price       Total

                                                            $           -
                                                            $           -

TOTAL SALES                                                 $           -

ACTUAL EXPENDITURES:
Items Purchased for re-sale           Quantity Unit Price       Total

                                                            $           -
                                                            $           -


Total Expenditures:                                         $           -


         Net Surplus:                                       $           -


SPONSOR CERTIFICATION: Above is an accurate summary of the sales
and expenditures that were incurred for the above referenced fundraiser.




Sponsor Signature                                           Date




Treasurer Signature                                         Date

				
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posted:8/13/2012
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