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					                 University of Washington                                       ***Please Select***
                 Advance Expenditure and Replenishment Form
                 Financial Services, Banking and Accounting Operations, Box 351120
                 Revfund@u.washington.edu

        Contact Name:                                                              Contact Phone #:
          Fund Name:                                                                    Advance #:
          Bank Name:                                               Last 4 Digits of Bank Account #:
      Leave this section blank                   xx-xxxx                                              03-69-00

                   Expense Code      Cost Accounting Only
Budget Number Obj       Sub Ssub Task Optn         Project        Use Tax   Net Invoice Amount Invoice Number




                                                                   Total    $                 -




Department Approval Signature                              Date
This form records expenses that have incurred to MyFD. It will also cause more funds to be advanced.
General Information:
                        Contact Name/Phone
                        Fund Name
                        Advance number
                        Last 4 digits of bank number
                        Bank Name
                        (direct deposit budget/object)

Recording Expenses:
                         Budget Number
                         Object, sub, ssub
                         Cost accounting
                         Use tax

                         Amount
                         Invoice number

Signature:               Departmental approval that the expenses are accurate


Instructions:            Print a copy of this form and put it on top of your reimbursement request.
                         Submit reimbursement request to "Revolving Funds" Box 351120.
                         Email a copy of this form to Revfund@u.washington.edu

                         Please email the excel version of the form, we cannot accept a pdf
                         Please include your vendor number and the amount in the subject line.
                         or if this is part of a subject reimbursement, put "subject reimbursement"
to MyFD. It will also cause more funds to be advanced.

            Name and phone of who to contact with problems.
            If the advance has a name, put that here
            A unique number for your advance. (Was called a vendor number or a revolving fund number)
            If using direct deposit, this helps us to check that it's going to the right account
            If using direct deposit, this helps us to check that it's going to the right account
            Where to book the $1 direct deposit fee


            Which budget this expense should be recorded to
            http://www.washington.edu/admin/finacct/obcodes/
            Optional, not used by most departments
            http://f2.washington.edu/fm/tax/departments/wa-state-taxes/use-tax
            Use tax applies in some cases where sales tax is not paid. Use tax will hit your budget, but not the reimbursement
            The amount of the transaction
            Optional, but frequently used for brief descriptions. 15 characters maxium.

al that the expenses are accurate


 m and put it on top of your reimbursement request.
nt request to "Revolving Funds" Box 351120.
orm to Revfund@u.washington.edu

el version of the form, we cannot accept a pdf
endor number and the amount in the subject line.
ubject reimbursement, put "subject reimbursement"
ot the reimbursement

				
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posted:10/25/2011
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