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TICKET COST: Final Number of Paid Attendees: FUNDS COLLECTED Interim Deposits to DOTRA Treasurer Date Date Date TOTAL: Any Net Income from 50:50 Amount: Was there a DOTRA Authorized Subsidy NO YES If yes, how much per person authorized EXPENSES INCURRED: (paid directly or reimbursed by DOTRA Treasurer) Amount Purpose Person Received Amount Purpose Person Received Amount Purpose Person Received Amount Purpose Person Received Use additional sheet if required TOTAL EXPENSES INCURRED FOR EVENT TOTAL INCOME COLLECTED FOR EVENT NET INCOME/LOSS TO DOTRA (+ / -) Submitted by Date Please submit at first Board of Directors meeting after event..