Colfax Spanish Academy PTO

Check Request

Your Name: Phone:

Date Submitted:

Project/Account:

Date Needed:

Reason for check:

Check Payable to:

Amount:

Address of Payee (if no bill attached):

If this is a bill that needs to be paid, attach the bill to this form and the Treasurer will mail it.

Approved by (Event/Committee Chair):_________________________ Date _____________

Approved by (PTO Officer): __________________________________ Date _____________

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For Treasurer's use only

Account_________ Check # ________ Dated ___________ Logged _______ Cleared ______