YMCA - YDM - Expense Request Form

COO Approval (Copy)

Requestor

Enter your name here.

Requestor E-Mail Address

Program

Vendor

Expense Account

Expense Account - Other

Enter the account number and description here if "Other" was selected in the previous question.

21st CCLC Account Subcategory

SFS Account Subcategory

Name of Y-Cardholder

Note: If this changes you MUST notify Melissa Velasquez.

Name of Store/ Vendor for Card Use

Note: If this changes you MUST notify Melissa Velasquez.

Purchase Amount

Enter the dollar amount listed on your backup documentation.

Is the City of Aventura reimbursing the YMCA for this expense?

Do you have a pre-authorization for this purchase?

Enter Pre-Authorized Request #

If applicable.

Comments

If applicable.

Attach Backup Documentation

Backup documentation includes invoices, receipts, shopping carts, etc. Only PDF files can be uploaded. Your file should be titled as follows: [Vendor Name]-[Amount]; Example: Amazon-$29.99.

Attach Field Trip Compliance Calculator

Required for all Grant-Funded Transactions allocated to Admissions.

NOTE: Submitting this form will route your process for approval. Associate Executive Directors/ Executive Directors will approve purchases valued at $999.00 or less. Purchases over $1,000.00 require Vice-President Approval.

PO#

Final Amount

Internal Comments/ Purchase Description

Invoice Number

Check Date

Check Amount

Request Status

21st CCLC Grant

Transaction Type

Claim Month

YDM Expense Request Form