Family Name______________________________
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. |
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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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10 |
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11 |
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12 |
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14 |
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15 |
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20 |
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KTotal Receipts Submitted: |
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E-Bus Office Use Only:
Total
approved reimbursements claim #1: $
Approved
reimbursements carried forward to claim #2: $
Total
approved reimbursements claim #2: $
Approved
computer purchase carried forward 2006/07: $
Travel Claim Application
Annual Reimbursement / Travel Claim
for Field Trips and Cultural Events:
Student
name(s):_________________________________________________________________
Date of
Field Trip/Event:___________________________________________________________
Location of
Field Trip:_____________________________________________________________
Itemized
Travel Expenses / ferry costs, parking, etc. (receipts not required)
Maximum $50.00 per student per year:
______________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
|
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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KTotal (Sub): |
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