Cornwall Central Teachers’ Association

CCTA Expense Voucher

____ CCTA ____ Scholarship ____ Community Needs

Name: ______________________________ Date: _______________________

Committee

___ Communication ___ Executive Board ___ Health/Wellness ___ Legislative ___ Membership ___ Negotiation

___ Nomination ___ P R & R ___ Representative Assembly ___ Scholarship ___ Social/Welfare ___ Other _______________

Service(s): __________________________________________________

EXPENSES (attach receipts) Date Description Amount _________ ___________________ $__________ _________ ___________________ $__________ _________ ___________________ $__________ _________ ___________________ $__________ _________ ___________________ $__________ _________ ___________________ $__________ _________ ___________________ $__________ Total: $__________

AMOUNT PAYABLE TO: _____________________ _____________________ ______________________ Signature

---------------------------------- Do not write below this line. ------------------------------------

APPROVAL:

______________________________ ________________________
President Date

______________________________ ________________________
Treasurer Date

Check #: __________ Amount: ___________ Budget Line: _________________

Date: ___________ Voucher #: _________ Fiscal Year: 20___ - 20___