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408-378-4181
4750 Bucknall Rd, San Jose, CA 95130
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Form – Bills and Receipts
Receipts and Bill Payment Requests
"
*
" indicates required fields
Authorized By
*
First
Last
Email
*
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
Type
*
Bill Payment
Purchase Receipt
Return Receipt
Reimbursement
*
Yes
No
Select "Yes" if you made the purchase with your personal credit card and need to be reimbursed
Date
*
MM slash DD slash YYYY
Date of receipt or bill
Vendor/Business
*
Amount
*
Description
*
Enter a brief description of what was purchased or returned
Attachment
*
Max. file size: 5 MB.
Account Selection Instructions
Select the account that best fits the expense.
Business Meals
: Food purchased for volunteers and/or staff while working or discussing WCC business.
Facilities
: Materials or contract work.
Supplies:Office/Bathroom
: None
Supplies:Popsicles
: None
Supplies:Pool Chemicals
: None
Supplies:Other
: Does not fit in any of the above accounts
Account
*
Business Meals
Facilities
Supplies | Office/Bathroom
Supplies | Popsicles
Supplies | Pool Chemicals
Supplies | Other
Instructions for Treasurer
Reimbursement/Bill Payment
Payment Method
*
PayPal
Zelle
PayPal/Zelle Information
*
This field is hidden when viewing the form
PayPal/Zelle Email
Payment Status
Paid
Order Token
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