Friends of Ridgefield Community Library

Reimbursement Request Form

Date Submitted

Event/Activity

Name

Date

Explanation of Expenditure 

Total Requested

Check payable to & address

 Authorized for Payment

 Mail to above address or pick up at library 

Name(Print) 

Signature

 All receipts/invoices must be attached to this form. Submit to the Friends Treasurer within 10 days of the expense or prior to the event. Thank You! 

Treasurer’s Use: Date Paid Check#: Amount Paid $: 

Additional Information

01/26/2025