PEACOCK PLAYERS, Inc

14 Court St. Nashua NH 03060

 

EXPENSE REIMBURSEMENT FORM

 

 

Name  _________________________________________

 

Mailing Address           _____________________________

 

                                    _____________________________

 

Amount of expense  $_________

 

Date of purchase        _________

 

Item(s) purchased         ________________________________________________________

                                    ________________________________________________________

                                    ________________________________________________________

                                    ________________________________________________________

 

Name of budgeted production or program             __________________________________

 

Authorized Signature _________________________________________________________

 

 

Requirements for reimbursement

  1. Any and all requests for expense reimbursement must support a Peacock budgeted program or production. 
  2. This form must be signed by the Resident Producer or a Board Member, indicating approval for the expense. 
  3. Receipt(s) must be attached.
  4. An individual form must be filled out for every expense.  Reimbursement requests cannot be processed unless the form has been filled out.

 

Procedures

  1. Fill out the form – all shaded areas.  Print legibly so that your request for reimbursement can be processed in a timely manner.
  2. Attach receipt to the form indicating amount paid. 
  3. Leave the completed form, with attached receipt, in the Treasurer’s folder in the box office area at 14 Court Street.  Your request will be processed as soon as possible via check - mailed to address you indicated on the form.