ACLU - Voucher

American Civil Liberties Union of Florida - C4

American Civil Liberties Union Foundation of Florida- C3

PAYMENT VOUCHER

Request and Approval

Requestor:

Date:

Requestor Email Address:

Charge to Chapter, Dept or Campaign:

Payment Authorized by:

Payment Authorization Email Address:

Department Director/Project Manager/Chap. Board Tres. or
Chap. Board Pres(if reimbursing Tres. Directly)

* ATTACH ALL APPROVALS, INVOICES and RECEIPTS *

Drop files here or click to upload

Form must be complete to be processed, which includes approval and necessary support such as invoices, receipts, or mileage map. A W9 may be requested if applicable. ALL REQUESTS SHOULD BE SUBMITTED WITHIN 30 DAYS OF THE EXPENSE DATE.

1. Amount:

2. Payable to:

Name:

Address:

City, State Zip:

3. Description of Expense:

* Please be sure to indicate if this activity is political in nature.

4. Special Instructions:

*Please indicate if mailing address is different than billing address. Or if the item is to be split by department or project.

PAYMENT VOUCHER

Request and Approval

*** ATTACH ALL APPROVALS, INVOICES and RECEIPTS ***

* ATTACH ALL APPROVALS, INVOICES and RECEIPTS *