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DOTRA
ACTIVITY/EVENT EXPENSE REPORT
EVENT NAME: _________________________ DATE HELD: ____________
LOCATION: _______________________________________________
DOTRA PERSON IN CHARGE: ____________________________
Complete the following if applicable.
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.
Approved for use 11/2/10
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