Finance

Unique ID

Request Type*

Date of Transaction*

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Vendor Name*

Purchase Description:*

Please list all items on this purchase.

Item Description	Quantity	Rate	Amount

Amount Total

Budget Category*

Select below with the most accurate budget category for this expense:

Office Sub Category

Finance Sub Category

SPPRC Sub Category

Trustees Sub Category

Outreach Sub Category

Ministries Sub Category

Worship Sub Category

Pastor Sub Category

Please attach receipts for this purchase*

Receipts for all line items are required for reimbursement.

Drop files here or

Name

This field is for validation purposes and should be left unchanged.

First UMC Lafayette