ࡱ> AC@[ Rbjbj "0jjl,D DT T T T  x'))))))$ M] @ MT T T T ''T  ?.40`E`Bay Area Youth Soccer Association BAYSA REFEREE RECRUITMENT PROGRAM REQUEST FOR REIMBURSEMENT NAME formtext      CLUB formtext       ADDRESS formtext      CITY formtext      ST  FORMTEXT TXZIP  FORMTEXT       Attached is documentation that supports this request for reimbursement. Receipts for expenses are enclosed as are copies of the four (4) stubs from games scheduled by BAYSA which I refereed. Game Coverage Summary: Game DateSite/FieldAge/DivisionTeams(i.e. - 9/9/99Clear Lake - CL10U10 - GirlsCL Falcons vs BT Gandersformtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext      formtext       Reimbursement Summary: Type of Expense (description)Amountformtext      $ FORMTEXT      formtext      $ FORMTEXT      formtext      $ FORMTEXT      formtext      $ FORMTEXT      Total:$ FORMTEXT       I attest that this information is accurate and complete. I understand that I am eligible for this program only once and that this is my only request for reimbursement. I also understand that the reimbursement will be sent to the address stated at the top of this form. formtext       Printed Name Signature - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FOR BAYSA BOARD USE ONLY This request for reimbursement has been reviewed and approved by the BAYSA Board of Directors. ______________________________ __________________________ Date of Board Review and Approval Amount of Reimbursement Approved Mail completed form and all required documentation to: BAYSA Treasurer 406 Lincoln Deer Park, TX 77536 BD68JLNXZfhz|~;<=FG  j@<CJU>*6jU mHnHujUj <CJUj<CJUj`<CJUjUmHnHuj<CJU jU5CJ, 5>*CJ,8DF "&\i$$Ifl0P$ 04 la$1$If$1$a$1$ Rolllldddd$1$If1$$$Ifl\P$  04 la ";<4Zoggggo4ggggo4$1$If$$Ifl\%_04 la "$&0246HJLVXZ\npr|~     0 2 4 > @ jX<CJUj<CJUj<CJUj,<CJUj<CJUjh<CJUj<CJUjUmHnHuj<CJU jU8  B h g4g4$$Ifl\%_04 la$1$If @ B D V X Z d f h j | ~      $ & ( * < > @ J L R >*6j<CJUj<CJUjH<CJUj<CJUj<CJUj<CJUjUmHnHuj<CJU jU7  ( N P R gdd1$$$Ifl\%_04 la$1$If   D n p   " L t $$1$Ifa$$1$Ifi$$Ifl0$t04 la     2 4 6 @ B F H \ ^ ` j l p r      " $ & : j5U5j0 Uj <CJUjh Uj <CJUj Uj< <CJUjUjUmHnHu jUjt<CJU;: < > H J L prRżCJ mHnHujUmHnHuj <CJU jU5j5UmHnHu j5Uj 5UL N P np$1$If1$i$$Ifl0$t04 laef"2>R1$U$$IflF0O$    4 la P/ =!"#$%`D Text1`D Text2`D Text3`D Text4aDText5TX_DText6`D Text7dD Text14dD Text15dD Text22`D Text8dD Text13dD Text16dD Text21`D Text9dD Text12dD Text17dDText20dDText10dDText11dDText18dDText19dDText23dDText270.00dDText24dDText280.00dDText25dDText280.00dDText26dDText280.00dDText320.00dDText31 iP@P Normal1$5$7$8$9DH$CJOJQJ_HmH sH tH <A@< Default Paragraph Font0"#E_`x";<Obu"#6I\opq()<QRYnop5N0123jz000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 @ : R  L R R epv}<GMOZ`bmsu  #.46AGITZ\gm  &)4:=IOZflFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF8@6(  JB  # ?"JB  # ?"B S  ? t %tText1Text2Text3Text4Text5Text6Text7Text14Text15Text22Text8Text13Text16Text21Text9Text12Text17Text20Text10Text11Text18Text19Text23Text27Text24Text28Text25Text26Text32e}<Obu#6I\)[ wNat!5H[n;m-/!+333ew}<NOabtu!#56HI[\n');=PZm/ Jim Kunke%C:\My Documents\Word\Loki\request.doc Jim Kunke+C:\My Documents\Word\Loki\baysa request.doc Jim Kunke+C:\My Documents\Word\Loki\baysa request.doc Jim Kunke1C:\My Documents\Web\basra\forms\baysa request.doc Jim Kunke6C:\My Documents\Web\basra\forms\baysa request test.doc Jim Kunke1C:\My Documents\Web\basra\forms\baysa request.dot Jim Kunke1C:\My Documents\Web\basra\forms\baysa request.dot Jim Kunke1C:\My Documents\Web\basra\forms\baysa request.dotJKunke7C:\WINNT\Profiles\jkunke\Personal\word\loki\request.dot_`x";<Obu"#6I\opq()<QRYno@qv8, qqXHHHHHPP @PP P PP @UnknownGz Times New Roman5Symbol3& z Arial"Ah$7ҋY&S6D QmYxx20d2!Bay Area Youth Soccer AssociationLawrence J. KunkeJKunkeOh+'0   0< X d p |"Bay Area Youth Soccer Associationosay Lawrence J. Kunkeceawrawr request.dotJKunke.5unMicrosoft Word 9.0e@^в@ s@`0Ծ@ ص?D՜.+,0 px   r~ 2 "Bay Area Youth Soccer Association Title  "#$%&'()*+,-./12345679:;<=>?BRoot Entry F 0?DData 1Table!`WordDocument"0SummaryInformation(0DocumentSummaryInformation88CompObjjObjectPool 0? 0?  FMicrosoft Word Document MSWordDocWord.Document.89q