Request for Payment Severna Park Center Stage Please make check payable to:______________________________________

Amount $______________

Date:____________________

Category of charges:

Costume

Set

Sound

Cast Party

Stage Crew

Production

Media/Pictures

Other

Itemization of Expenses: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________

Approval:_____________________________________________________

Receipts or other supporting documentation must be attached *********************************************************** Paid by Check #____________________ Date:____________________

Request for Payment Severna Park Center Stage

Request for Payment. Severna Park Center Stage. Please make check payable to: Amount $. Date: Category of charges: Costume. Set. Sound. Cast Party. Stage Crew. Production. Media/Pictures. Other. Itemization of Expenses: Approval: Receipts or other supporting documentation must be attached.

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