Lafayette Garden Club Reimbursement Form

 

 

Lafayette Garden Club                                                             Date:__________________

 

JoAnn Pugh, Treasurer                                                            Amount $______________

P. O. Box 51366                                                                                                 

Lafayette, LA  70505                                                               Committee:_____________

 

 

Reimbursed to: __________________________________________________________

                             (Print Name)                                   

 

Address if not a member ___________________________________________________

 

Description of expenditure: _________________________________________________

 

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