WARRANT REQUEST

GREENBROOK PTA 2009-2010

Submitted By: __________________________________________ Date: ________________

Phone: ________________________________________________

Check Payable To: _______________________________________________________________

Check Mailed To: _________________________________________________________________

Or Place In: ___________________ PTA Folder __________________ Teacher Box

Event Name: ____________________________ Date Funds Released:_______________________

Additional Instructions: _____________________________________________________________

(PLEASE PROVIDE COMPLETE INFORMATION TO AVOID PAYMENT DELAY)

EXPENDITURES

Event/Account Description Amount_

___________________________________________________________ $________

___________________________________________________________ $________

___________________________________________________________ $________

___________________________________________________________ $________

___________________________________________________________ $________

TOTAL $________

Please attach original receipts/invoices and retain copies for your records.

Please submit to Sandy Bodisco. Place it in the PTA Treasurer file in the PTA file cabinet in office or send it to 65 Calistoga Court. Please call 837-8535 or email bodiscox4@sbcglobal.net if you have any questions.

_________________________________________________________________________________________________________________________

Date Paid __________ Check #_________ Amount $ ______________

Date Funds Released_________________________ Date Recorded___________

___________________________ Pres/EVP Initials:_________

Notes: _______________________________________________________________