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COLORADO WING CHECK REOUESTFOR UNITS BELOWWING LEVEL
DArE oF REQUEST: 0 112512010
DATE NEEDED BY:
uNrr NAIT|E:Air Academy CompOSite Squadron
CHARTER NUMBER: R R.CO. 159
ISSUE CHECK TONAI,E OR COMPANY: James Broyles
Illailto: Air Academy Composile Squadron
glpggl lpgpEgg. P.O. Box 261
clTY, STATE ZIP: USAFA' CO 80840-0261
EMATL ADDRESS. cheryl@mahon.us
pHONE: (719) 590-8673
ITEMIZED EXPENSES(Please llst each receipt separately)
LINE
DESCRIPTION
ACCOUNT NUMBER
AMOUNT
1
AFA Football came Tailgate Refund
9-;/'i a'c()
76.00
4
7
I
I
t0
TOTAL AMOUNT OF CHECK
$76.00
REMARKS
REQUIRED APPROVAL
/ , trGN rutE
DATE
SIGNAlURE OF AUTHORIZED CHECK REOUESTER
/,"/,ff/,,5./.,
at @ts ia'
SIGNATURE OF AUTHORIZED CHECK REAUESTER
Irn., L^ ro
7f$ lo
IF CHECK IS OVER $500, ENTER DATE OF UNIT FINANCE COM#4TEE APPROVAi
COWG Form l73a
Nov 2008
PravioB editiohs may not be used.
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