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Form - Abilene Christian University

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					                                                   ABILENE CHRISTIAN UNIVERSITY
                                                      Missing Receipt Statement



Date of Transaction:                                                   Amount:

Purchased From:

Address:




Item(s) Purchased and Usage:




Signature (print name if illegible)                                                                                     Date




Supervisor's Signature (print name if illegible)                                                                        Date




Notes:
 v If the missing receipt totals $25.00 or more, you are required to contact the vendor for a copy of the receipt.
 v Expenses incurred for a federal or state grant may not be coded to the grant fund unless a valid receipt is provided to support
    the legitimacy of the expenditure for the purpose of the grant.

				
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