Check Requisition Form

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Check Requisition Form

The United Methodist Church at Absecon

Place completed form in Treasurer’s

(Jim Caterson’s) mailbox.

DATE: __________________________

AMOUNT: __________________________

MAKE CHECK PAYABLE TO:

Name:

_________________________________________________

Address:

_________________________________________________

_________________________________________________

REASON FOR CHECK:

FURTHER INSTRUCTIONS:

Requisitioner’s Signature

_________________________________________________

Chairperson’s Signature

_________________________________________________

~ Please Staple Receipt to Back of Requisition ~

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