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									                               Georgia Department of Human Resources
                                                   Basic Expenditure Form
                                                       Attach Invoice to this Form
   Voucher Page (Regular Voucher)
                                  Vendor Name                                                Vendor ID               Location




            Invoice Date                               Invoice Number                                    Invoice Amount




  Invoice Information Page
   Normal terms are net 30 days from invoice date. If payment needs to be made earlier, please indicate here.

   Terms:          Net:

                                    Description                                         Quantity        UOM          Unit Price




    If there are more budget identifiers than can be coded below, leave the fields blank and code all
        budget identifiers on a continuation sheet. Check here if a continuation sheet is attached:


                                                   Speedchart (Project Code)



               Amount                      Account                 Fund                   Department (Organization Code)

                                                                 10100
                                            OPB Sub Program                  Class



  Payments Page                                                                                         Voucher Attributes Page
                   Check      EFT             Handling Code                       Pay Date                Accounting Template
     Pay by
   (Mark One)


   I authorize the purchase(s) described on this form and direct that it (they) be charged to the
   budget identifiers encoded above.
              Approval
                                                                                     Date
              Signature
                   Phone



    OFS Staff Member                                                                 Date

     Voucher Number



Revised 07/24/06
                                  Georgia Department of Human Resources
                                    Expenditure Transaction Continuation Sheet
       Instructions:

1. Fill out the first line in its entirety. The amount in each line refers to the amount that should be recorded to the program or to the
   speedchart, whichever of the two is used.

2. For subsequent lines, enter only the information that is different from the line immediately above it.

     Total Amount


Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100


                                                                                                         Voucher #


     Revised 7-24-06
                                  Georgia Department of Human Resources
                                    Expenditure Transaction Continuation Sheet
       Instructions:

1. Fill out the first line in its entirety. The amount in each line refers to the amount that should be recorded to the program or to the
   speedchart, whichever of the two is used.

2. For subsequent lines, enter only the information that is different from the line immediately above it.

     Total Amount


Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100


                                                                                                         Voucher #


     Revised 7-24-06
                                  Georgia Department of Human Resources
                                    Expenditure Transaction Continuation Sheet
       Instructions:

1. Fill out the first line in its entirety. The amount in each line refers to the amount that should be recorded to the program or to the
   speedchart, whichever of the two is used.

2. For subsequent lines, enter only the information that is different from the line immediately above it.

     Total Amount


Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100


                                                                                                         Voucher #


     Revised 7-24-06
                                  Georgia Department of Human Resources
                                    Expenditure Transaction Continuation Sheet
        Instructions:

1. Fill out the first line in its entirety. The amount in each line refers to the amount that should be recorded to the program or to the
   speedchart, whichever of the two is used.

2. For subsequent lines, enter only the information that is different from the line immediately above it.

      Total Amount


Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100

Speedchart                      Amount                  Account         Fund                    Department                       OPB Sub Program   Class
                                                                       10100


                                                                                                         Voucher #

Revised 7-24-06

								
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