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Community Group Reimbursement Form 23104 N. 67th Ave. Glendale AZ 85310 o 623. 362. 9400 f 623. 362. 9399 cory mountainridge. org Childcare Reimbursement Office Use Only Reimbursement Payable To Name Address City State Phone Group Leader Name Today s Date Zip Requested By Email Approved By Please fill out ONE form per event. Form must be submitted within 30 days after the event. Date of Children Hours Amount For reimbursements of sitters...
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