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NHS ATHLETIC BOOSTER CLUB PAYMENT/ REIMBURSEMENT REQUEST FORM PLEASE SUBMIT THIS FORM (with invoices or receipts attached) TO: Terry Studebaker Treasurer NHS Athletic Booster Club 186 Coolie RD Mooresville,
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Provide your personal or business information, such as your name, address, and contact details in the respective fields.
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Specify the payment details, including the amount, invoice number, and any additional comments or special instructions.
05
Indicate the preferred method of payment, such as cash, check, or online transfer.
06
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The LNHS payment request formdoc is required by individuals or businesses who need to request payment for goods or services provided to LNHS (Lakeview Neighborhood Health System). This may include vendors, contractors, suppliers, or service providers who have a valid agreement or contract with LNHS.
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The lnhs payment request formdoc is a document used to request payment for services or goods provided to LNHS.
Any individual or company providing services or goods to LNHS may be required to file the lnhs payment request formdoc.
To fill out the lnhs payment request formdoc, one must provide details of the services or goods provided, including cost and any other relevant information requested on the form.
The purpose of lnhs payment request formdoc is to request payment for services or goods provided to LNHS.
The lnhs payment request formdoc must include details of the services or goods provided, cost, and any other relevant information requested on the form.
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