expense.pdf

EXPENSE REPORTING FORM

SUBMIT TO: U.S. Grand Treasurer General

Name:

Ordo Templi Orientis

Address:

P.O. Box 45139

Los Angeles, CA 90045-0139

DATE

DESCRIPTION OF EXPENSE

AMOUNT

GTG USE ONLY

TOTAL $

I REQUEST: DUES CREDIT: $

REIMBURSEMENT: $ (subject to prior approval)

USE AS DONATION: $

OTHER :

EXPLANATION OF EXPENSES:

ATTACH ALL RECEIPTS

DO NOT WRITE BELOW THIS LINE

APPROVALS: GTG:

GMG:

EXEC:

OTHER:

PROCESSED:

RECEIPT NO:

CHECK NO:

OTO-USA/GTG/FORMS/EXP-RPT

REV. 970814