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 | Zonta Emblem |
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| Zonta Expense Report Form |
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The ZONTA Symbol is derived from the Teton dialect of the Siouan stock of native American languages. The word "ZONTA" signifies 'honest and trustworthy'. |
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Contact:
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President:
Rita Haggardt
ZONTA INTERNATIONAL ZONTA DISTRICT 8 POCATELLO CHAMBER ACTION PAGE LEGISLATOR CONTACTS
Zonta Expense Report Form
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Date: _______________Currency amount requested________________ |
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Name:______________________________________________________ |
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Address:____________________________________________________ |
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Telephone Number (home):_____________(work):__________________ |
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Purpose of expenditures:______________________________________ |
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Itemized list of expenditures: |
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Date |
Item |
Amount |
____________ _______________________________________ _________
____________ _______________________________________ _________
____________ _______________________________________ _________
____________ _______________________________________ _________
____________ _______________________________________ _________
____________ _______________________________________ _________
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Total_______ |
Signature:_____________________________________________________
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Date paid: _______ Check #: ________ |
**Note - The form must be printed at this time and manually submitted for payment**
