FIRST PARISH UNITARIAN CHURCH

Disbursement Authorization Form

DATE:____________________

COMMITTEE:__________________________________________

Reason for

Invoice:________________________________________________

Amount of Invoice:_______________________________________

Check made out to:_______________________________________

Approval_________________________________

(Signature of Committee Chair)

Please attach receipts or invoice and put in Treasurer’s mailbox.)

FIRST PARISH UNITARIAN CHURCH

Disbursement Authorization Form

DATE:____________________

COMMITTEE:__________________________________________

Reason for

Invoice:________________________________________________

Amount of Invoice:_______________________________________

Check made out to:_______________________________________

Approval_________________________________

(Signature of Committee Chair)

Please attach receipts or invoice and put in Treasurer’s mailbox.)