Payment Request Person Requesting Payment _________________________________________ Date ________________ Organization _____________________________________________ Title__________________________ Email __________________________________________ Phone _________________________________ Event or Assignment _____________________________________________________________________ Amount Requested $_______________________ Date Request by ________________________________ IRS Form W-9 required for payment of services greater than $600 to non-corporate entities (excludes reimbursements)

Description of Request:____________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Write Check To Name of Person or Company _______________________________________________________________ Address ________________________________________________________________________________ City _____________________________ State _________ Zip _____________ Phone _______________ Funds will be paid either directly to the material supplier or as a reimbursement. •   For direct payment to supplier, please provide an invoice or purchase order •   For reimbursement, please provide an original receipt showing payment for the materials. ............................................................................................................................................................................... Approvals - Separate Funds held for Teams, Booster Clubs or Teachers Up to $200 approval by two, $200 and more approval of all

___________________________ Team, Booster or Department Chair

__________________________ PHS Principal

_________________________ PHF Chair or Vice Chair

Approvals - Foundation General Funds Up to $400 approval by two, $400 or more requires approval by Board motion on _________________

___________________________ Treasurer

__________________________ PHF Chair or Vice Chair

Approvals - Alumni Funds Up to $400 approval by two, $400 or more requires approval by Board motion on _________________

___________________________ Treasurer

__________________________ PHF Chair or Vice Chair

_________________________ Alumni President

Please scan and email to [email protected] 15500 Espola Road, Poway, CA 92064 • www.powayhighfoundation.org

Check Request.pdf

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