ࡱ> 352` Jbjbjss ;"#&@@@@@@@T8$T  "BBBBBBjllllll}hl@BBl@@BB@B@Bjj@@B 6v/|F$0@4B>,$(BBBllXBBBTTTd TTT TTT@@@@@@  EVERTON AMERICA - Expense Reimbursement Request Form Team (e.g. Boys U-12) _________________________________________ Coach Name / Telephone _________________________________________ Manager Name / Telephone ______________________________________ DATE NAME(s) OF REFEREE /LINESMEN FEE PAID SIGNATURE _____ ____________________________________ _____ _______________ _____ _____ _______________ _____ _______________ _____ _______________ _____ _______________ _____ _______________ _____ _____ _______________ _____ _______________ _____ _______________ _____ _______________ _____ _______________ _____ ____________________________________ _____ _______________ _____ _____ _______________ DATE TOURNAMENT NAME FEE PAID __________________ _________ _______________________________________ ___________________ _________ _______________________________________ ___________________ TOTAL FEES TO BE REIMBURSED: CHECK PAYABLE TO: ___________________________________________ MAIL TO: ___________________________________________ ___________________________________________ Mail to: EVERTON AMERICA 58 HAWKS HILL ROAD, New Canaan CT 06840 Note: Please submit at the end of the season for reimbursement. If required, team treasurers may submit reimbursement forms during the season for a minimum of $300.     PAGE  PAGE 13  +89:@N* . 8    @ [ \ ]  ! E ` n o Ͽ{ppppppppppppphs%:>*B*phh<:>*B*phh<:B*CJphhs%:B*phhs%:>*B*CJphhs%B*CJphhs%:B*CJphhs%5B*CJmHphsH!hZxhs%B*CJmHphsHhZxhdmHsHhZxhs%mHsHhs%5mHsH,9:( ) *  [  `  v8T4P!A@@A@A@gds%  hv8p4P!A@@A@@gds% x!@@@@gds% hx!@@@@gds%$ x!@@@@a$gds%gds%#I` , k  5 i  v8T@ !A@@ABA@ (@&^ `(gds%7 v8T4P!A@@A@A@$d %d&d'dN OPQgds% v8T4P!A@@A@A@gds%  , - . P     ! 5  !=jr<}Ɋ~rrfhp:B*CJphh:B*CJphh<:B*CJphh<:B*CJaJphhs%hs%:>*B*phhs%hs%:B*phh<:B*phhs%:B*CJph h<hs%:B*CJaJph h<h<:B*CJaJphhs%:>*B*phhs%:B*ph&<}#%&()+,./89:FGHI &`#$gde v8T!A@@ABA@^`gdT  v8T!A@@ABA@gdp  v8T !A@@ABA@ (@&^ `(gds%}"#$&')*,-/06789:;ABDEFGHIJѸhG0JmHnHuhehT hT 0JjhT 0JUh"Bjh"BUhT hp6B*CJphhp hp5IJ v8T!A@@ABA@^`gdT 901hP :pG/ =!"#$% @@@ s%NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No List4@4 s%Header  !4 @4 T Footer  !.)@. T Page NumberJ"9:()*[`,k5i<}#%&()+,./89:FGHK00000000000000000000000000000000@0@00h00@0h00@0h00h00h00h00h00@0 h00h00@0@0h0 0)h009:()*[`,k5i<}Kj00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j00j000 %%%( }J ` IJ I !(!!ײز1Zٲ+ZڲWMMiiKTTvvK;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet9*urn:schemas-microsoft-com:office:smarttagsplaceB*urn:schemas-microsoft-com:office:smarttagscountry-region `+,8!"##%%&&()+,./7:EHK8"##%%&&()+,./7:EHKCijqy(<"##%%&&()+,./7:EK##%%&&()+,./HK| WxCRfl9; c f F B  ? | y N + S x"-i/0#n\s {flQI~PJM-[Dlo, M'{T h l u E!^J!/"""'"4I"rO#V#s%%D%&.&K '?'v'(N(^(Vy((DK)Z*a* +"+)+,e,m, -{-..,.9H.\./("/1/374K5;5626)N6cf6b)7{8h8pv8J:^:`;W;v;<#+<g<3O=,#>/?!&?f?p @B`BEC*d+d2d5dEd.eze6f7gtohr$i,jIkJkLk\Vk|\k\kok l6*lm $m`mzm}rn)4opo($psGpMpD_pfpuqr1rGrKrsBsnttoGtqtsvQ,v:vZxwys"z+{P{'|m|cx|} }}`B}*L}z}aB~QE~61U_uc 5/R7rZG!d*?JJI_acu'"B&``n?I019=Bcr(8xoC6[ 4AH)x -NOJoYv"E'F5AZiACDyDX`jpjdF Q .rh%#LdfnS1KrLv7q6*0aT/ 7eFwf-GF]8`*<"~~#8|i=F|6LI.wl7_'{"4(P 1m/RZsB tpx8H"bp1l{QUXHQkh*b [Q+AGl|/PY0guJDg_0AB]d;=GKi]2u4N1'BC-t5[!7aZbkx[hMzW>[5;Jc7d|wC67DU4Z)vc~Jek8*w`m'kHk 3":>F6\e?7F3+TDTX*v,S =PW!n)_AMn/JjNt,m/5U-<}"Kuuu@JP@UnknownGz Times New Roman5Symbol3& z Arial"1htFʆʆ 66!42QHX ?s%24EVERTON AMERICA - Expense Reimbursement Request Form Dave Johnson Dave JohnsonOh+'0, DP p |  8EVERTON AMERICA - Expense Reimbursement Request FormDave JohnsonNormalDave Johnson11Microsoft Office Word@NZ@Fa/@R:.@Fa/6՜.+,0, hp   Coerver Coaching 5EVERTON AMERICA - Expense Reimbursement Request Form Title  !#$%&'()+,-./014Root Entry F