Check Disbursement

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Payer Information

Church Number Church Name Email Address of the Church Primary Contact Apply to Quarter Support Total - Please enter the total amount being remitted, then itemize in the fields below

I. OUR CHURCH’S WIDER MISSION (+ 5 for 5)

+Basic Support (OCWM) 410100 +Neighbors in Need 202040 +Strengthen the Church 410150 +One Great Hour of Sharing 202050 +Christmas Fund/Veterans of the Cross 202020 UCC Directed Gifts 202070 UCC Directed Gifts Purpose

II. SOUTHWEST CONFERENCE RECEIPTS

Southwest Mission and Sow the Seed Funds are 7 for 7 contributions

Per Capita Dues: $10/member 410200 Per Capita Travel Pool: $1/member 349000 Southwest Mission Fund/Spread the Word 332730 Sow the Seed Camp Scholarships 397001 Camp Registration Fees 480300 Youth Events 396510

III. OTHER RECEIPTS

MID Support Fund Other SWC Sponsored Events 480400

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