
Attach original
receipts and mail to Attention: Evelyn
Frenette Bag 8000 V0J 3A0 1.
Number each original receipt. 2.
Complete this form, including place of purchase,
description of item/activity purchased, and subject area covered. 3.
State price of item claimed. 4.
Attach receipts. 5.
If you need more space to list receipts, use the back of
this form.
INSTRUCTIONS
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No. |
PURCHASED FROM |
ITEM DESCRIPTION |
AMOUNT |
Please indicate subject area purchase supports. This must be included on your SLP. |
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Language Arts/ Social Studies |
Math Science |
PE/ PP/ CAPP |
Fine Arts/ Applied Skills |
Technology |
Other – please specify |
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KTOTAL (Sub) = |
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No. |
PURCHASED FROM |
ITEM DESCRIPTION |
AMOUNT |
Please indicate subject area purchase supports. This must be included on your SLP. |
|||||
|
Language
Arts/ Social
Studies |
Math Science |
PE/ PP/ CAPP |
Fine Arts/ Applied
Skills |
Technology |
Other –
please specify |
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