Studdiford Community Association
	Expense Reimbursement Claim
					Staple Receipts to the back here
		CHECK WILL BE MADE OUT TO THE NAME BELOW. THIS FORM
		IS NOT NECESSARY FOR DIRECT TO VENDOR PAYMENTS.
	Name:
	Address:
	City, State, Zip:
	Itemize Receipts
	Receipt Date	Expense Description	Category/Account	Vendor/Merchant	Amount
	(MM/DD/YY)	(Postage, Food, Paper, etc)	(Office, Social, Legal, etc)	(Publix, Home Depot, etc)
				Total Expenses:	$              -
				Less Advance:
				Total Reimbursement Amount:	$              -
	I agree that all expenses submitted on this claim are for Studdiford Community Association purposes only.
	Signature				Date
	Please submit to the Studdiford Treasurer
	Forms are obtainable from the Finance section on http://www.studdiford.org
	OFFICE USE ONLY
	Date:			Approved:       Y     /     N
	Check No:			PCA Reference: _____________________
	Approver's Signature: