REQUEST FOR DISBURSEMENT
OF THURMONT MIDDLE SCHOOL PTA FUNDS
 

Date of request: ____________________ Committee: ___________________________

Amount requested: __________________ Date needed: __________________________

Make check payable to: ____________________________________________________________

Description of expense: ____________________________________________________________

Itemized expenses: ___________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Receipts/invoices should be attached to this form. Multiple receipts may be attached to the same disbursement form as long as they are related to the same event and a check is to be issued to the same individual. If no receipt is available, please explain.

Completed disbursement requests should be placed in the PTA’s mailbox. Please make a copy of request form and receipts for your records.

Signature of person requesting disbursement: __________________________________

Phone number:_______________________ E-mail:______________________________