Fairfield Harbour Yacht Club

Expense Form

Date:__________________

Amount Requested:____________________

Payable To: ___________________________

Address of Payee: _______________________________________________

_______________________________________________

Phone Number of Payee__________________________________________

FHYC Bridge Liaison: _____________________________________________

Name and Phone # of Sponsoring Committee Chair:

__________________________________________________Initial________

Purpose of Request:

Committees to charge/amount to charge:

Committee______________________________ Amount_________

Committee______________________________ Amount_________

Committee______________________________ Amount________

Committee______________________________ Amount_________

Receipts / Invoices Attached?

Bridge Liaison/Committee Chair
Approval: _____________________________________ Date:_____________

(Note: the person signing the “Approval” cannot be the same as the “Payable to.”)

The FHYC Treasurer shall not be required to make a payment unless this form is completed. In order for the Expense Form to be considered complete, it must contain all required information, be accompanied by receipts or invoices as appropriate, and signed by the Bridge Liaison or his/her appointed designate. (Appointed designate cannot be the Committee Chair.) Email submission is acceptable, and approval by email in lieu of a signature is acceptable.

Submit Forms and Receipts to: Jim Abell, Treasurer; 906 Coral Court