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Check Request Purchase Order Requisition Cash Advance.pdf

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                                                                                                                  Check Request
                                                                                                       Purchase Order Requisition
                                                                                                                   Cash Advance
Date:

                                                                                                               Please check applicable:
Payable To:                                                                                                                    Check
Address:                                                                                                                       P.O. Requisition
                                                                                                                               Cash Advance


                                                                                                                               Date Required
                             Employee                       Student   Other

                           DESCRIPTION                                 FUND          ORG         ACCOUNT ACTIVITY                     AMOUNT
                                                                                                         (Optional)




                                                                                                     Total Amount to be Paid


Special Instructions (optional) :

                           Worner Box # ________________ Other Instructions:
                           Dates of Travel (cash advance) __________________

(Note: W-9 needed for unincorporated payees if not already on file)           Business Office Use:
                                                                                                               Bus. Office
                           W-9 Attached                                          Taxable                       Approval

                           W-9 On File                                           Appropriate Documentation



Requisitioned By                                                                                                               Ext.
                                                      Print Name                     Signature


Authorized ("2nd") Signature
                                                      Print Name                     Signature

Department

Original receipts, invoices, or other documentation must accompany this form.
Questions? Please contact Accounts Payable: x 6782, or Purchasing: x 6695                                                        Print Form

								
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