LHCC

11 N Chelan Ave

Wenatchee, WA  98801

509-662-2558

life@nwi.net

Pay To:  ________________________

 

              ________________________

 

              ________________________

 

              ________________________

Payment Option

 

__ Check Request

 

__ Visa Charge On

                   ___________________ Card

 

__ Hold for Billing

 

__ Fixed Asset (Capital Expense)

Date Submitted      Invoice Date       Invoice Number        Requested Signed By                 (Print Name)

 

      Fund                         Budget #     Quantity            Description                                      Unit Price             Total

 Total

Notes:

1. Please print and attach copies of your invoice.

2. Forward to assigned person for “Primary Authorization”

3. Budgeted expenses over $1,000 may be authorized by the “primary authorization” person and either the Lead Pastor or the Treasurer.  Capital outlay purchases over $1,000 must be authorized by the Treasurer.

4. Non-budgeted or over-budget expenses require additional authorization.  Direct requests to the Lead Pastor or the Treasurer.

5. Reimbursement is paid every two weeks (1st & 15th).

Instructions:  (Fund would be ie: kitchen, nursery, youth ministry, etc)  Fill in Budget number.

                    Authorized by                   Date