ASSOCIATION FOR COUPLES IN MARRIAGE ENRICHMENT OF FLORIDA
                             Expense Voucher

   Name _______________________________________   Date ________________

   Address to which payment is to be sent:

     STREET or BOX ____________________________________________________

     CITY _________________________________________ ZIP _______________

   Program to be charged ______________________________________________

   Description and dates of ACME Event: (Please attact receipts, agenda,
   or brochure.  If requesting advance payment, please supply receipts
   when item is purchased or received.)

   ____________________________________________________________________

   ____________________________________________________________________

   Date            Item                          Account       Amount

   ________  __________________________________  ___________  _________


   ________  __________________________________  ___________  _________


   ________  __________________________________  ___________  _________


   ________  __________________________________  ___________  _________


   ________  __________________________________  ___________  _________


                                                              _________
    
   I certify that the above expenses were incurred by me and were
   necessary for the program for which I am responsible and were
   authorized in the budget for my program.

                     ________________________________   _______________
                            Signature                        Date
   _______________________
                         |
   TREASURER's USE:      |
                         |     APPROVAL:
   Date Paid: ________   |
                         |       ______________________________________
   Check No.: ________   |


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