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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'.

May 2013
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Contact:

President:
Maggie Calica
:
Rita Haggardt

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ZONTA INTERNATIONAL

ZONTA DISTRICT 8

POCATELLO CHAMBER ACTION PAGE

LEGISLATOR CONTACTS

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Zonta Expense Report Form
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zONTA EXPENSE

Zonta Club of Pocatello

Expense Report Form
(Receipts or photocopies of receipts should be included with the report)

Date: _______________Currency amount requested________________

Name:______________________________________________________

Address:____________________________________________________

Telephone Number (home):_____________(work):__________________

Purpose of expenditures:______________________________________

Itemized list of expenditures:

Date

Item

Amount

____________ _______________________________________ _________

____________ _______________________________________ _________

____________ _______________________________________ _________

____________ _______________________________________ _________

____________ _______________________________________ _________

____________ _______________________________________ _________

Total_______

Signature:_____________________________________________________

Date paid: _______

Check #: ________


**Note - The form must be printed at this time and manually submitted for payment**

 
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