ANTELOPE VALLEY QUILT ASSOCIATION

CHECK REQUEST

1.	CHECK AMOUNT: ________________________________________________

2.	BUDGET CATEGORY: _____________________________________________

3.	PURPOSE OF EXPENDITURE:_______________________________________

4.	MAKE CHECK PAYABLE TO: ______________________________________

5.	ATTACH ALL RECEIPTS!

6.	YOUR SIGNATURE: _______________________________________________

7.	DATE: ___________________________________________________________

Treasurer paid: ____________________________

Amount of check: __________________________

Check number: ____________________________