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The Hebron Historical Society
Hebron, Connecticut
Enjoy Hebron - It's Here To Stay ™
Member Funding Report
Requestor
*
Complete for Expenditures
Pick the dates from the calendars to fill-in the fields.
Date Submitted
*
Phone
*
Date Required
*
Amount
*
Payment Form
*
Cash
Check
Debit
Payable Mailing Address
*
Email Address
*
Describe Program/Event
*
Funding Record
*
Deposit
Expense
Items
First Item - Describe each Purchase or Deposit
*
Source or Vendor
*
Amount
*
Do you have another item?
*
Yes
No
Second Item - Describe each Purchase or Deposit
*
Source or Vendor
*
Amount
*
Do you have another item?
Yes
No
Third Item - Describe each Purchase or Deposit
*
Source or Vendor
*
Amount
*
Do you have another item?
Yes
No
Fourth Item - Describe each Purchase or Deposit
*
Source or Vendor
*
Amount
*
Total Amount
reCAPTCHA
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Home
Membership
About
Archives
Contact
Grants
Events
Restoration Projects
Fundraisers
Newsletters
Home
Membership
About
Archives
Contact
Grants
Events
Restoration Projects
Fundraisers
Newsletters
