Colorado Reimbursement Form 2023-2024


Check Payable to:  

Address:  

City:  

State:  

Zipcode:  

Email Address:

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Itemized Description of Expenditure: 

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Item 1:

Item 2:

Item 3:

Date Incurred:

Account Code: (Please select from this list):  

Reimbursement Requested:

Donation in Lieu of Reimbursement:  

Additional Comments:  

After you complete this form, it will be sent to your State President and when they sign the form, it will be sent to the State Treasurer and finally the Regional Treasurer.

Leave this empty:

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Signature Certificate
Document name: Colorado Reimbursement Form 2023-2024
lock iconUnique Document ID: e4832602f808a86205c31c95a2245756b03daa91
Timestamp Audit
April 26, 2023 11:03 am CSTColorado Reimbursement Form 2023-2024 Uploaded by Lori Larson - lori.larson@und.edu IP 134.129.197.30
April 26, 2023 11:16 am CSTKasha Farmer - kfarmer@uvu.edu added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:16 am CSTBrenda Olson - bolson@safmt.org added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:20 am CSTKasha Farmer - kfarmer@uvu.edu added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:20 am CSTBrenda Olson - bolson@safmt.org added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:22 am CSTKasha Farmer - kfarmer@uvu.edu added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:22 am CSTBrenda Olson - bolson@safmt.org added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:24 am CSTKasha Farmer - kfarmer@uvu.edu added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 11:24 am CSTBrenda Olson - bolson@safmt.org added by Dennis Stangl - dennis.stangl@aspireonline.org as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 1:38 pm CST Document owner dennis.stangl@aspireonline.org has handed over this document to kfarmer@uvu.edu 2023-04-26 13:38:45 - 134.129.197.30
April 26, 2023 1:38 pm CSTKasha Farmer - kfarmer@uvu.edu added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
April 26, 2023 1:38 pm CSTBrenda Olson - bolson@safmt.org added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
May 1, 2023 9:33 am CSTKasha Farmer - kfarmer@uvu.edu added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
May 1, 2023 9:33 am CSTBrenda Olson - bolson@safmt.org added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
May 1, 2023 9:35 am CSTKasha Farmer - kfarmer@uvu.edu added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
May 1, 2023 9:35 am CSTBrenda Olson - bolson@safmt.org added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
October 16, 2023 3:55 pm CSTKasha Farmer - kfarmer@uvu.edu added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
October 16, 2023 3:55 pm CSTBrenda Olson - bolson@safmt.org added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
January 2, 2024 1:24 pm CSTLori Larson - lori.larson@und.edu added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
January 2, 2024 1:24 pm CSTBrenda Olson - bolson@safmt.org added by Kasha Farmer - kfarmer@uvu.edu as a CC'd Recipient Ip: 134.129.197.30
January 2, 2024 1:38 pm CST Document owner kfarmer@uvu.edu has handed over this document to lori.larson@und.edu 2024-01-02 13:38:06 - 24.10.163.160
January 2, 2024 1:38 pm CSTLori Larson - lori.larson@und.edu added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 24.10.163.160
January 2, 2024 1:38 pm CSTBrenda Olson - bolson@safmt.org added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 24.10.163.160
October 8, 2024 11:35 am CSTLori Larson - lori.larson@und.edu added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
October 8, 2024 11:35 am CSTBrenda Olson - bolson@safmt.org added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
October 9, 2024 8:25 am CSTLori Larson - lori.larson@und.edu added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
October 9, 2024 8:25 am CSTBrenda Olson - bolson@safmt.org added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
October 14, 2024 11:46 am CSTLori Larson - lori.larson@und.edu added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
October 14, 2024 11:46 am CSTBrenda Olson - bolson@safmt.org added by Lori Larson - lori.larson@und.edu as a CC'd Recipient Ip: 134.129.197.30
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