Jr. Irish Soccer Club, Inc.
Rep./Mgr. Expense Report

Name_________________________ Team Name:___________________________

Address:______________________ Age Group:____________ Boys         Girls     (circle one)

 _______________________________

DATE EXPENSE DESCRIPTION CHARGE TOTAL
       
       
       
       
       
       
       
       
       
 

TOTALS

    
NOTES
1. Attach a receipt for all expenses.
2.  Provide brief description of expense.
3.  Mail to:    Cindy Peacock
                       958 Tealwood Ln.
                       South Bend, IN 46614 
                       Home: (574-299-0745)   E-Mail:  peacockc@aol.com