Credit Card Reconciliation form by linzhengnd

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									                                                NNU Visa Card Reconciliation
Cardholder Name >>                         enter Cardholder name here                        Fill in the amounts as listed in "Acitivity
                                                                                             Summary" from your statement below:
Preparer >>                         enter name of person reconciling here                                   Other Credits
                                                                                                               Purchases
"Payment Due Date" >>                  enter " Payment Due Date " here                                         Advances
      from the statement                                                                    Other Debits, Fees & Interest

           Vendor                                  Business Purpose                                Budget Number                     Amounts
Enter all Charges (except missing receipts ) and Credits in the order and as they appear            5 digit              Sub-        credits &
on statement. Attach receipts in the same order. Enter Credits as a negative.              Fund    Function   Object     Fund        charges




                                                                                 Total all Charges & Credits listed above >>>                0.00
                                                                              Total all Charges & Credits listed on page 2 >>>               0.00
                                                                          Total all Charges & Credits >>>                                   0.00
Fraudulent/Disputed Charges - Claim filed with VISA. Enter an account to post         5 digit          Sub-
to until resolved and credit is issued.                                       Fund Function   Object   Fund




                                                                         Total all Fraudulent/Disputed Charges >>>                          0.00
Missing Receipts: Charges to be deducted from payroll for missing receipts or charges made in error for
personal items. (Include explanation)




                                                                                 Total all Payroll Deductions >>>                         0.00
                                                                            New Balance - reconcile to zero >>>                             0.00


                    Cardholder Signature                                                      Supervisory/Budget Officer Signature

                                                                                                                                      Revised 6/29/2010
Cardholder Name >>                      enter Cardholder name here
                                                                                                                Pg 2 of Reconciliation
Preparer >>                           enter "Payment Due Date" here

           Vendor                                Business Purpose                                 Budget Number                  Amounts
Enter all Charges (except missing receipts ) and Credits in the order and as they appear           5 digit                       credits &
on statement. Attach receipts in the same order. Enter Credits as a negative.              Fund   Function   Object   Sub-Fund   charges




                                                                                       page 2 Charges & Credits >>>                    0.00
Fraudulent/Disputed Charges - Claim filed with VISA. Enter an account to                           5 digit
post to until resolved and credit is issued.                                               Fund   Function   Object   Sub-Fund




                                                                 page 2 Fraudulent/Disputed Charges >>>                                0.00
Charges to be deducted from payroll for missing receipts or charges made in error for personal items.




                                                                                  page 2 Payroll Deductions >>>                        0.00
                                         NNU Credit Card Reconciliation Form Instructions



For each transaction listed on your credit card statement, you need to list the business purpose and budget to be charged.

For all meals purchased with your credit card, you need to provide first and last names of the individual diners. These can be listed
underneath the business purpose on the reconciliation form or written directly on the paper receipt.

The amount shown as "Total All Charges/Credits" should match the amount due on your statement unless you have
fraudulent/disputed charges or personal charges.

Fraudulent/Disputed charges should reported to VISA immediately and you should receive written
confirmation that it is pending and you do not have to pay that amount.

The total at the bottom of the reconciliation form should always equal zero prior to submission to the Business Office.

Send the reconciliation form to your budget manager for approval.

Approved reconciliation forms with receipts must be received in the Business Office no later than 5:00 p.m. on the 15th of the month.

Any reconciliation sheets not received, or any transactions that are missing receipts will be processed through payroll as a an after-tax deduction.

If missing receipts are subsequently located or received, they may be submitted in a reimbursement envelope along with
a purchase order to be processed as a reimbursement to the cardholder.

                                              Questions??   Email: davanstone@nnu.edu
Note: This is a sample worksheet only. A sample Visa bill is also included
for reference on the on the right of this page.

                                              NNU Visa Card Reconciliation
Cardholder Name >>                     enter Cardholder name here                          Fill in the amounts as listed in "Acitivity
                                                                                           Summary" from your statement below:
Preparer >>                        enter name of person reconciling here                                    Other Credits        119.75
                                                                                                                    Purchases       397.04
"Payment Due Date" >>                enter " Payment Due Date " here                                           Advances
       from the statement                                                                   Other Debits, Fees & Interest

           Vendor                               Business Purpose                                Budget Number                     Amounts
Enter all Charges and Credits in the order and as they appear on statement.                     5 digit
Attach receipts in the same order. Enter Credits as a negative.                       Fund     Function    Object    Sub-Fund
Craft Warehouse             Merchandise return                                         11      40002       6610        1234         (42.40)
Hobby Lobby                 Merchandise return                                         11      40002       6610        1234         (68.88)
Bed, Bath & Beyond          Merchandise return                                         11      40002       6610        1234          (8.47)
Paul's Market               Your business purpose here                                 11      40002       6552        1234          25.99
Fred Meyer                  Your business purpose here                                 11      40002       6552        1234          39.18
Wal-Mart                    Your business purpose here                                 11      40002       6552        1234          68.99
Bed, Bath & Beyond          Your business purpose here                                 11      40002       6610        1234           8.47
Bed, Bath & Beyond          Your business purpose here                                 11      40002       6610        1234         227.78
DPPS                        Your business purpose here                                 11      40002       7002        1234          12.00




                                                                                    Total all Charges & Credits >>>                 262.66
Fraudulent/Disputed Charges - Claim filed with VISA. Enter an account to post                   5 digit
to until resolved and credit is issued.                                               Fund     Function    Object    Sub-Fund

DPPS                            Unauthorized charge I am checking into.                11      40002       7002        1234

                                                                  Total all Fraudulent/Disputed Charges >>>                           0.00
Charges to be deducted from payroll for missing receipts or charges made in error for personal items. (Include
explanation)

Java                            Accidentally used wrong card to pay for personal charges                                             14.63




                                                                                   Total all Payroll Deductions >>>                  14.63

                                                                           New Balance - reconcile to zero >>>                        0.00


                     Cardholder Signature                                                  Supervisory/Budget Officer Signature




                                                                                                                                              Revised 6/29/2010
Revised 6/29/2010
Revised 6/29/2010
Revised 6/29/2010

								
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