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Name
(
Required
)
Email Address
(
Required
)
Purchase Date (
Required
)
Please enter the date of the purchase(s)
Submitted Date
Date you are submitting this expense form (typically today)
Company (
Required
)
Company or payee name, as shown on the receipt.
Amount (
Required
)
Sum of all receipts being submitted with this expense form.
Purpose of Purchase (
Required
)
Brief description of the purpose for this purchase
Apply to Budget Category (
Required
)
Which budget category(s) should this expense apply to. If split, please indicate the amount for each category.
Expense Handling (
Required
)
Select one option for how you would like the expense handled. If other, please give a description in the Other Explanation field.
Reimbursement
Church Credit Card Receipt Only
Check Request for Pre-Approved Expendature
Gift In Kind
Other
Make Check Payable To
If reimbursment and you would like the check made out to a person other than the submitter or if this is a check request.
Other Explanation
If Other, please give a brief explanation.
Additional Comments
Any additional information to help the treasurer process this expense form.
Receipts
Receipt 1
The file name of the receipt. Please include the date, company, and purchaser in the name, e.g. '2023.04.01 Menards - Matt Coakley.png'
Receipt 2
The file name of the receipt. Please include the date, company, and purchaser in the name, e.g. '2023.04.01 Menards - Matt Coakley.png'
Receipt 3
The file name of the receipt. Please include the date, company, and purchaser in the name, e.g. '2023.04.01 Menards - Matt Coakley.png'
Receipt 4
The file name of the receipt. Please include the date, company, and purchaser in the name, e.g. '2023.04.01 Menards - Matt Coakley.png'
Receipt 5
The file name of the receipt. Please include the date, company, and purchaser in the name, e.g. '2023.04.01 Menards - Matt Coakley.png'
Solve 5 + 6 = ?
Submit