Okaloosa County Master Gardeners

Form for Reimbursement

^{Board Approved Dec. 20, 2007}

All inquiries to Amy Jo ajrdjr112@cox.net

Committee/Officer: (check one)

Outreach____ Education____ Ways & Means____ Nursery_____ Info./Publicity_____ MG Activities_____ State Awards_____ Administration_____ President_____ Vice President_____ Secretary_____ Treasurer_____ Other____________________

Description of how the money was used: ____________________________________________________________________________________________________________________________________

__________________________________________________________________

__________________________________________________________________

List Expense (attach receipt): Amount to be Reimbursed

_______________________________ __________ Date received

_______________________________ __________ _______________________________

_______________________________ __________

_______________________________ __________

Total __________

Name of Payee (Please Print): ___________________________

Authorization by Standing Chair

(SIGNATURE REQUIRED): ___________________________

Starting Budget for the year: _________________

minus expenses to date _________________

Remainder in annual budget

for this committee: _________________