Claim No
/
The
Churches Together
(North East) Football league.
MISCELLANEOUS CLAIM
FORM.
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DATE.
PARTICULARS OF CLAIM.
AMOUNT OF CLAIM
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net
vat
Total £
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I have paid / wish to reclaim- the above
expenses incurred on behalf of the league.
Claimant
Date.
/
/200
Receipt
attached YES / NO
Payment
made by Cheque/Cash
Cheque no
Signature
of Treasurer
.
Amount
received £
. p Date / /200 Signature of
claimant
..