GLADBROOK-REINBECK COMMUNITY SCHOOL 2017-2018 STUDENT FEES REMITTANCE FORM - Due date: August 9, 2017 You may also pay fees on line at the school website - Click on the PaySchools Link @ www.gladbrook-reinbeck.k12.ia.us. If paying on line do not return this form. Parent/Guardian Name (s) ______________________________________________________________________ Address: ______________________City, State, Zip ___________________Phone: ________________________ w=waivable nw=non-waivable
Student Name ____________ Grade ______
Student Name ____________ Grade ______
Student Name ____________ Grade ______
Student Name ____________ Grade ______
STUDENT FEES: Software/Book Rental (w)
Fees
Amount
Amount
Amount
Amount
K-4 5-12 Kindergarten Milk Program (w) 1st or 2nd Semester Both Semesters
$65.00 $95.00
__________ __________
__________ __________
__________ __________
__________ __________
$35.00 $70.00
__________ __________
__________ __________
__________ __________
__________ __________
Music Department (Grades 9-12) (w) Chorus/Band Uniforms $10.00
__________
__________
__________
__________
Dual Enroll HS Course (w) -
$35.00 per class __________
__________
__________
__________
High School Class Dues (w) Grade 9 Grade 10 Grade 11 Grade 12
$15.00 $20.00 $25.00 $30.00
__________ __________ __________ __________
__________ __________ __________ __________
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Activity Ticket (nw) optional
$65.00
__________
__________
__________
__________
High School Yearbook (nw)
$45.00
__________
__________
__________
__________
1:1 Computer Cooperative Fund (Grades 5-12) (nw) $50.00 __________
K-12 Nutrition Fees (Breakfast/Lunch Program) Family Nutrition Deposit
$_______________
Student Fees: $__________ + Nutrition Deposit $ __________+ $25.00 Processing Fee (if late)= Grand Total $____________ *Please add $25.00 processing fee if paid after August 9, 2017* If not paying on line, please complete and return with payment to G-R School, 600 Blackhawk St., Reinbeck, IA 50669 ************************************************************************************************************************************************** FOR OFFICE USE ONLY DATE PAID: ___________________ OFFICE SIGNATURE:_________________ AMOUNT PAID $ _______________ GENERAL FUND: ____________________ ACTIVITY FUND: _____________________
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PERMIT FEES. Total Valuation. Fee x 0.65. $1.00 to 1,100.00. $ 36.00. $1,101.00 to 1,200.00. $ 38.50. $1,201.00 to 1,300.00. $ 41.25. $1,301.00 to 1,400.00.
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July 25 â August 3, 2014 ⢠Glorieta Conference Center â Glorieta, NM. (You must fill out this Form ... Cell Phone: ... Contact Phone Number (if applicable): ...
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Lakeville Area Public Schools ISD #194 ⢠Student Information Services ... been completed and sent to Student Services? ... Part B â Check ALL that apply:.
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Jan 1, 2017 - o To minimize disruptions to your operations, please update your processes accordingly to mitigate against rejections. As a result of the passing of SB16-115,. Colorado recording fees will increase effective January 1, 2017. If you have
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