Page 7 - KMS Staff Welcome Back Packet
P. 7

Classroom Allotment 2020 - 2021









                          Classroom Allotment Reimbursement Request Form

                  Completed, Classroom Allotment Reimbursement requests can be returned to the KMS
                   PTSA Treasurer via email at: treasurer@kenmoreptsa.org or in the KMS PTSA Box.

                                       Please attach all receipts to your request.

                 NAME:                                         DATE:

                 DEPARTMENT:                                   AMOUNT                  $
                                                               REQUESTED:
                 EMAIL:                                        BUDGET LINE ITEM:          CLASSROOM
                                                                                           ALLOTMENT
                 CIRLCLE YOUR FTE:       1.0 = $100, 0.8 = $80   0.6 = $60, 0.4 = $40,   0.2 = $20

                                   INCLUDE THE FOLLOWING IN YOUR DESCRIPTION:
               * What and/or Why, (Receipt descriptions are often vague. Please list out the items purchased
               and what purpose they will serve)

               Example: If you purchased a book for your classroom please do not list “book”. Write the title of
               the book so the PTSA can see that the book clearly relates to the topic of your classroom
               subject. If it's unclear why that topic would be relevant to your classroom, please explain.

                              DESCRIPTION OF SUPPLIES PURCHASED TO SUPPORT
                                      YOUR CLASSROOM OR YOUR STUDENTS:
                   Date                       Description of Item or Service                      Amount
                                                                                               $




                                                                                               $






                                                                                               $





                                                                                               $





                                                                               Total Request  $
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