Knights of Columbus
Blessed Pier Giorgio Frassati
Council #17824
Expense Reimbursement Form
Please Provide:
Expense Account to be charged: ___________________________________________________
Council Requestor (if different from payee): ________________________________________
Date of Expense: ____________________
Amount: ________________
Purpose (in detail) ________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
Make check payable to: ___________________________________________________________________________
This section for Council #17824 use only
Voucher # _____________ Check #: __________ Date: _________________