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State Chapter Treasurer/Financial Monthly Report

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Form Title	Financial Report
Date Submitted	%dateSubmitted%
Report Date
Month Of
State Chapter

Beginning balance for reporting period:

Total of all money received by the chapter since last month's report:

Itemized Receipts

Description	Amount

Total of all money spent by the chapter since last month's report:

Itemized Expenses

Description	Amount

Current balance of money for this month's report:

Gift In Kind Donations

Donor Name	Brief Description of Goods	Estimated Value

* Individual state chapter ledgers shall contain information for all income and expenses with supporting documentation. Chapter ledger shall be reviewed monthly and audited annually by the chapter.

Attach Bank Document
State Chapter Treasurer Signature
State Chapter Director Signature

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