IHC ExpenditureI Heart Church Expenditure / Reimbursement / Charge Item Request What kind of request is this? Expenditure Reimbursement Charge Requested by: Full Name * First Name Last Name Email * Phone (###) ### #### Today's Date MM DD YYYY Amount (ex. $100.00) Description of Expense: Tell us about this expense, what it's for, and any additional information. VENDOR INFORMATION Name of Vendor Address Address 1 Address 2 City State/Province Zip/Postal Code Country Memo: All requests are subject to administrative approval before disbursement of funds. FOR OFFICE USE ONLY Account/Ministry Name: Date Approved: Method of Payment: Check on Account Reimbursement Credit Card Invoice APPROVED BY: Your request has been submitted. Thank you!
