TAFTVILLE VOL. FIRE DEPARTMENT
                                              EXPENSE REPORT


EVENT / PURCHASE: ______________________________________________________

CHAIRMAN OF EVENT / PURCHASE: __________________________________________

DATE (S) OF EVENT / PURCHASE: ___________________________________________

NUMBER OF MEMBERS ATTENDING:  ACTIVE ______________  LIFE: ______________
        
                             ITEM                                                        COST
_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

    
                TOTAL COST: _____________

ADVANCE RECEIVED BY CHAIRMAN FROM TFD:
_______________________________                                                                                TFD CHECK
NUMBER _____________

TOTAL ITEM PAYMENTS MADE BY TFD: ______________________________________
                                                                         TFD CHECK NUMBER _____________

TOTAL ITEM PAYMENTS MADE BY CITY OF NORWICH: __________________________
                                                                         CITY CHECK NUMBER ____________

OTHER INCOME (I.E. TICKET SALES): ________________________________________

_______________________________________________________________________

BALANCED OWED TO CHAIRMAN / TFD: ______________________________________

PAID BY CHAIRMAN / TREASURE:                 TFD CHECK NUMBER _________________

DATE: ___________