Hants & IoW CP Expenses Form

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1(800)SUC-CESS

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Community Empowerment Ltd

Expenses Claim

Name*

Email Address*

Message - please outline EXACTLY what your claim relates to (eg public transport, milage, etc)*

Please include details of event attended and the date of the event.

Amount of claim (£-p)*

Please list any items/components that make up your claim (with costs) and CLEARLY state the total being claimed.

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Community Empowerment Ltd