OCM Grace Church -- PAYMENT REQUEST

*** INSTRUCTIONS ***

1, Complete this form and Save as PDF

2, Scan all your receipts

3, Email this form in PDF with receipts to treasury and copy to responsible EB member

Payable to: Date
Requested by: Amount:
Purpose:

Auto/Travel	Baptism	Building	Caring	Children Ministry
Christian Education	College/Career Ministry	Continuing Education	Dues & Subscriptions	Fellowship
Insurance	Medical Reimbursement	Ministry Expense	Music Ministry	Office Supplies
Printing	Pastorial Salary	Professional Fee	Repair & Maintenance	Service/Refreshment
Telephone	Utilities	Chinese/English Worship	Youth Ministry	Others

Approved by:

OFFICIAL USE ONLY
Amount: $	Prepared by:
Reference Number:	Date:

(Do Not Use Microsoft Print to PDF)