Bethel Missionary Baptist Church
2607 SOUTH AVENUE     WAPPINGERS FALLS, NY 12590    845-296-0102
 
Edward L. Hunt, Ph.D                                                                                 Robert W. Crenshaw
Pastor                                                                                                    Chair, Board of Trustees
 
PAYMENT REQUEST
 
 
 
 
Date:
 
 
 
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Ministry or Organization:
 
 
 
Authorizing Signature:
 
 
 
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Address: 
 
 
   
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Amount: $
   (Please attach copy of Invoice or Receipt as applicable)
 
 
 
 
 
 
OFFICE USE ONLY
  
 
 
 
Pymt Initiator & Input Date
  
Pymt Issue Date
 
 
 
Notes: