Initial Clothing Allowance Form - Bridges Child Placement Agency

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INITIAL CLOTHING
ALLOWANCE
Child’s Name: __________________________________________
Home: ________________________________________________
Period Of Statement: _____________________________________
Initial Clothing
Child & Parent
Date
Amount
Description
Allowance
Initials
Clothing Total
Attach receipts:
This report accurately reflects money transactions by (or on the behalf of) the above-named child during the indicated time period.
__________________________________________________________
______________________
Signature of parent making report
Date
___________________________________________________________
______________________
Signature of child
Date
Initial Clothing Allowance Form
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