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Use this form to request a payment from the treasurer
Print the form, fill it out, and give to the treasurer
  
This request is for a payment from:
Canandaigua Rotary Operating Fund
Canandaigua Rotary Foundation
  
Treasurer: Please issue the following check:
  
Date:
Check Amount
Payable to:
Address Line 1
Address Line 2
City
State
Zip
Reason for request:
Person making request:
  
Fields Below are for Board use only:
Date of board approval
Account:
Approved by:

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