F U N D I N G R E Q U I S I T I O N
Submitted
for consideration by the Memorial Committee
(Please mail this form to: Louis Ceriani, PO Box 334, Dexter, MI 48130)
Date of Request: Date Request Was Received:
Funds Requested by: __________________________ Phone #:_____________________________
Committee or Person’s Name
Cell or Committee Chairperson:
The Memorial Committee's response will be directed to the committee/person making the request, unless otherwise noted
here:
Name - if different than person listed above
|
Description of item requested: |
Price per item: |
Total Amount: |
|
1)
|
|
|
|
2)
|
|
|
|
3)
|
|
|
Explain why these items are needed by our Church: __________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
________________________________________________________________________________________________
{Please do not write in the space below, it is reserved for committee’s response.}
* * * * * * * * * * * * * * * * * * * * * * * * * * * *
q Request #1 Approved Amount: To be purchased by:
q Request #2 Approved Amount: To be purchased by:
q Request #3 Approved Amount: To be purchased by:
Signed: Date: