UUFSM REIMBURSEMENT VOUCHER October 2007

All requests for reimbursement must have a voucher attached and must be signed by the Team Leader or the appropriate Board Liaison in the Authorization Signature box. Receipts should be attached.  If not available,  provide complete information below or on the back of the paper. If you make copies or mail things, charge it to Communications.

Member's Name, Mailing Address, and Phone (printed)	Date Submitted:
	Date of Expense:
Member's Signature	Receipts Attached?   Y   or   N    If no, signed explanation attached.

Authorize	Team/Committee to Charge	Expense Category (circle or write in details)		AMOUNT
M. Nystrom	SUNDAY MORNINGS Worship  Operations    Chalice Guild   Music           Choir          Hospitality	Guest Speaker Music  Rent	Supplies  CLF Dues Piano Tuning
J. Grohsmeyer S. Castles	REL. EDUCATION Nursery  Children   Youth Adult      Library       Admin	Curriculum Supplies Training	Personnel Equipment Books
C. Lavsa J. Paribello	FELLOWSHIP BUILDERS Membership   Social Events    We Care         Chalice Circles Small Groups	Supplies Food Rent	Gifts Equipment Books
V. Cumbo	SOCIAL JUSTICE ACTION UUSC     Community Outreach  Going Green  GAYT
K. Boyd A. Newhouse	COMMUNICATIONS Publicity      Website   Historian Newsletter    Bulletin  Publications	Telephone Mailbox Copies	Stamps Website Supplies        Ads
C. Lavsa V. Cumbo	FINANCE Budget   Endowment  Canvass   Fundraising   Grants	Computer Supplies	Kickoff Event
J. Grohsmeyer M. Nystrom	UU MATTERS UU Liaison   Mediation Nom Com.   Search	UUA Dues JPD Dues
J. Grohsmeyer M. Nystrom	BOARD OF TRUSTEES Pres  VP  Sec.  Tr. At-large
		TOTAL		$

To be completed by Finance: ___ Approved    ___ Disapproved    Reason:_____________________________________ Date Paid ________________      Check Number  __________________ Treasurer Authorization: ______________________________________

Submit complete voucher to the Treasurer by mail to: Vincenza Cumbo, Treasurer 48264 Easton Court Lexington Park, Maryland 20653 Checks will be paid by the Treasurer within 30 days of this voucher.