KNIGHTS
OF COLUMBUS
NORTH
CAROLINA STATE COUNCIL
DISBURSEMENT
VOUCHER
Voucher
No_________
Check
No. _________
State
Officer use only
Make Check Payable to: ______________________________________
Address ________________________________________________
________________________________________________
Item No. Description
of Expense Amount
Account
Code
State
Officer use only
Note #1 - Attached Receipts / Supporting Documents
Note #2 - Any Travel Expense (Mileage, Lodging, Meals) Allowed ONLY IF Previously
Approved By State Deputy
| Requested by: | Approved by: | Transacted by: |
| Signature | State Deputy’s Signature | State Treasurer’s Signature |
| Date | Date | Date |
Please mail completed voucher and supporting details to:
D. R. (Dave) Jones, State Deputy
Knights of Columbus
4838 Butterwick Lane
Charlottte, NC 28212-8521