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					                                                     Duke Divinity School
                                                  Procurement Receipt Form
                                      Note: capital/equipment purchases not allowed on procurement card



Cardholder: _Andrew J Keck______ Purchaser (if different): __________________________

Vendor: _______________________ Location: _________________________________

Amount: _______________________ Date of event/purchase: ______________________

Detailed business purpose: _ATLA Annual Conference___________________________
Charge code: ____________                           G/L account (if known): _________________________
Department: _Divinity School Library_________________________________
For meetings/meals:
     Attendee names: ______________________________________________________
        (# of attendees if over 10)

            ______________________________________________________________________________________________________________________

        Relationship of attendees to Duke: _______________________________________
For gifts: (gifts > $25 each require senior officer approval)
      Recipient name(s): ____________________________________________________
        Social Security # (if gift > $75 each): _____________________________________________________________________________
        Amount per recipient: _______ Purpose of gift: _____________________________

Purchase approved by:
______________________________________                                        Date: ________________________
                    Supervisor/Designee


Cleared in Paris by: ______________________                                   Date cleared: __________________
                                           Paris administrator



Please staple original receipt to this form. Provide a copy of this form and receipt to the
individual responsible for reconciling the charge code listed.
Note: If procurement card was used for a business trip, a completed and signed copy of
the travel expense or a/p check request form must be included. Forms may be obtained
from the administrative staff or may be found on s:template/excel.



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