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Heart of Phoenix Reimbursement Sheet
Enter all needed information, as well as preferred way to be reimbursed (check, paypal, etc)
Please fill out all items that pertain to you. Receipts are still required.
Name
*
Date / Time
MM
/
DD
/
YYYY
How should we reimburse? Paypal, Venmo, check or Zelle? Please include address or user name or email
*
Indicate Horse(s) expenses are related to
*
Monthly Board
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Hay
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Feed
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Vet supplies
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Stable Supplies
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Fuel
Please include miles travelled
Cost
$
Dollars
.
Cents
Misc
Please enter in a description of the items purchased.
Cost
$
Dollars
.
Cents
Total Cost to be reimbursed
*
$
Dollars
.
Cents
Please add any additional information that may be relevant.
Receipts (if needed)
Receipts (if needed)
