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Missing_Receipt_Purchasing_Card

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					                                                                             University of Maine System
                                                                                  Purchasing Card
                                                                     Substitute Documentation Form PC-7
                                           Employee Information

Cardholder Name (First, MI, Last)                                                                      EMPLID


Department


Card Number (only last 4 digits)


Vendor Name


Purchase Date                                                        Reason Original Documentation is not available


                                             Receipt Information

  Item Description (Catalog number, produce keywords, etc.)                   Quantity                  Price




                             Notes                                                    Subtotal

                                                                       Shipping & Handling

                                                                                         Total


Purpose:; (ie, meeting refreshments)
                                                                                   Number of
Description of Group (ie,                                                           People
office staff)                                                                      Attending


 I, the cardholder listed above, have either not received or have misplaced a PCard receipt. Thbe above described
   expense was incurred on behalf of the University of Maine System. No other receipt for this expense has been
                                        sought or accepted from any source.


                                     Employee / Approval Signatures


       Signature of Cardholder             Date                              Signature of Supervisor            Date




  C:\Docstoc\Working\pdf\9db14808-1509-41d3-b7f8-b5d132aa3e43.xls - 6/7/06

				
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