To: Business Office Date: Amount Payable To: Address: INVOICE DATE: INVOICE NUMBER: DESCRIPTION: MAKE CHECK TO PAYEE DELIVER CHECK TO: SUBCODE AMOUNT TOTAL $ -ACCCOUNT NUMBER REQUESTED BY: AUTHORIZED DEPT CHAIRMAN DEPT SUPERVISOR APPROVED OFFICER OF UNIVERSITY DEPT DEAN $0.00 TOTAL: $0.00 (NOTE: ALL SUPPORTING DATA MUST BE ATTACHED OR REQUEST WILL BE RETURNED) EXPLAIN AND ITEMIZE BELOW Please Issue Check UNIVERSITY OF BRIDGEPORT BRIDGEPORT, CONNECTICUT 06604 REQUEST FOR CHECK