COIC Expense Receipt
Please complete all the information requested for each charge or check payment.
If you want to include additional information, use the Other area.
There is no need to send the actual receipt because this form will act as the receipt.
* Required
Your Name
*
Date of Charge / Check
*
Enter in MM/DD/YYYY format
Total Amount $
*
Store or Vendor
*
Expense Reason
*
Use A Reason from the List below
Feis
Granville Irish Festival
Pasta Fundraiser
Flower Fundraiser
Costumes
Parade
Other (Describe)
Other
Describe the Reason
Check Number