SUPPLEMENT FORM #13 Ministry Receipt Breakdown

Please check which credit card or charge account this receipt applies and attach the receipt to this form. A separate form should be completed for each vendor. The form and ALL receipts should be submitted to the Administrative Office no later than the close of the business each Friday for any purchases that were made during that week. The form along with the original receipts may be placed in the drop box on the west wing or left in the administrative mailbox located at WCC Central in Phase One

American Express BP Exxon Federal Express Fedex Kinkos Food Lion

Home Depot If It’s Paper Life Way Lowe’s Mishael’s Exxon

Office Max Office Max/Depot Sam’s Sheetz Visa (Business Card)

Wal Mart XPedx Other: _____________________________________________________________

DATE: AMOUNT MINISTRY TO BE TYPE OF CHARGE Of Charge CHARGED (i..e. gas, supplies, food, etc.) If this is for food, list names of attendees.

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Updated 1-5-18