sample purchase voucher by yRKfBim

VIEWS: 36 PAGES: 5

									                                            FYI--Purchase Voucher


This is a brief overview of the features for this on-line purchase document.
Click on worksheet tabs (FYI, front page, back_p2, back_p3, back_p4 at the bottom
of this file to move from sheet to sheet.
Hit the "Tab" key on your keyboard to advance to the next available field. (Fields have been merged.)
An error message "Locked cells can not be changed." will appear when you try to make entries
in reserved fields.
PRINT (This is to ensure the voucher prints on one page--different for MACs and PCs
Please go to File (on the menu bar), Page Setup, Select "Page" tab, select "Fit to" 1 page.
Field                    Description
Date                     Please enter as mmddyy; result will be mm-dd-yy (ex: 040498 = 04-04-98)
Doc agency               Will automatically link to the continuation sheet.
Current document #       Will automatically link to the continuation sheet.
PIN                      Broken down to two fields, eleven digit ID number and three digit mail code.
TC, Index, PCA, AY,      Will zero fill if not all digits are entered-see instructions for details.
COBJ, AOBJ, APPN,        Ex.=Fund (must be four characters). Enter "1", result will be "0001".
FUND
Document amount
                         Document amount will populate from the combined "amount" on each page.
Line 23 AMOUNT           Calculated from Line 21 (Quantity) and Line 22 (Unit Price)
Description              Will not autowrap, must return to next line to continue description.
Phone Number             Enter as a 10 digit number, will result as (###)###-####



Please make sure all entries are complete and accurate before submitting.

For all suggestions or problems, please contact Expenditure Assistance
Section @ 475-0966.




                                                    Page 1
              Comptroller                                                                   STATE OF TEXAS
               of Public         73-170
               Accounts          (Rev 6-00/3)
                 Form

PURCHASE VOUCHER                                                                                                                                                               Page         1   of    1
1. Archive reference number                   2. Agency number        3. Agency name                                                                                     4. Current document number
                                                        696                              Texas Department of Criminal Justice
                                              5. Effective date              6. Order (document) date         7. Orig pmt date           CONF        8. Doc agency
                                                         08-31-11                                                                            Y               696                      ########
9. Texas identification number                                                                          10. PDT   11. PCC   12. Requisition number              13. Document amount
                  #########-###                                                                           R                                                                       $1,000.00               ########
14. Payee name / address                                                                                                                   15. GSC order number          17. AGENCY USE
John D'oh
Nowhere St.                                                                                                                                16. Lease number
Noplace, TX 78XXX-XXXX
   18  Ref Doc        IC                           RC             M   TC     Index          PCA                   AY        COBJ              AOBJ              Amount
 SFX                                                                   225                        13005            2011          7226                                             1,000.00
  001        APPN    Fund                          Pmt due date                        Rqd pmt date                              Invoice number                          Invoice date


                                                                                                                                                                                  AG#: ##-######
            Description                                                                                                                                                                               R
            Name of attorney from Attorney General’s Office
            Cap ind              Tag #                  AGENCY USE
                                                                                                                                                                     AG#: ##-######
   18       Ref Doc                      IC        RC             M   TC     Index          PCA                   AY        COBJ              AOBJ              Amount
  SFX
  001              APPN               Fund         Pmt due date                        Rqd pmt date                              Invoice number                          Invoice date




            Description                                                                                                                                                                               R


            Cap ind              Tag #                  AGENCY USE


        19. SER / DEL DATE                              20. DESCRIPTION OF GOODS OR SERVICES                                     21. QUANTITY           22. UNIT PRICE                  23. AMOUNT
            08-31-11                     John D'oh vs. TDCJ
                                         AG#: ##-######
                                         Cause No. AL-##-####-C; 900 Judicial Court,                                                                          1,000.00
                                         Harris County, Texas

                                         Plus Pre-judgment Int. of $_______ (If Required by Crt.)
                                         Plus Post-judgment Int. of 6 % until Pd. (If Required by Crt.)




                                         Approved:




                                         _____________________
                                         Rick Perry
                                         Governor of Texas




24. Contact name                                                                                         Phone (Area code and number)                            25. Entered by


26. I approve each purchase, travel, and payroll document in this batch. Employees at my state agency have determined that each document complies
    with applicable law, including the General Appropriations Act (GAA) and the rules of the Comptroller of Public Accounts. For each purchase or travel
    document, employees at my state agency have determined that: (1) the goods and services covered by the document comply with the requirements of
    the contracts under which they were purchased; and (2) the invoices for the goods and services are correct. For each transaction included in a travel
    document, employees at my state agency have determined that the information included in the transaction has been approved by the claimant. For
    each payroll document, employees at my state agency have determined that: (1) the payroll is correct and unpaid; and (2) any salary supplementation
    report required by the GAA to be filed with the Comptroller of Public Accounts and the Secretary of State has been filed. My state agency has
    authorized me to make this statement for the agency, and I accept responsibility for it.
            sign                                                                                                                 Phone (Area code and number)                  Date
Approved    here
            sign                                                                                                                 Phone (Area code and number)                  Date
Approved    here


                                                                                                                                                                                   1,000.00
        Comptroller                                                              STATE OF TEXAS
         of Public    73-171
         Accounts     (Rev 6-00/3)
           Form



PURCHASE VOUCHER CONTINUATION                                                                                                                  Page       2    of

                                                                                                                        1. Doc Agency          2. Current document number
                                                                                                                             696
                                                                                                                                                        ########
  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE



                                                                                                                                                        0.00
        Comptroller                                                              STATE OF TEXAS
         of Public    73-171
         Accounts     (Rev 6-00/3)
           Form



PURCHASE VOUCHER CONTINUATION                                                                                                                  Page       3    of

                                                                                                                        1. Doc Agency          2. Current document number
                                                                                                                             696
                                                                                                                                                        ########
  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE



                                                                                                                                                        0.00
        Comptroller                                                              STATE OF TEXAS
         of Public    73-171
         Accounts     (Rev 6-00/3)
           Form



PURCHASE VOUCHER CONTINUATION                                                                                                                  Page       4    of

                                                                                                                        1. Doc Agency          2. Current document number
                                                                                                                             696
                                                                                                                                                        ########
  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE


  18   Ref Doc                        IC    RC             M   TC   Index        PCA       AY     COBJ           AOBJ           Amount
 SFX
 001         APPN                    Fund   Pmt due date                    Rqd pmt date            Invoice number                       Invoice date



       Description                                                                                                                                                      R


       Cap ind               Tag #               AGENCY USE



                                                                                                                                                        0.00

								
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