PURCHASING CARD RECONCILIATION CHECKLIST by wuxiangyu

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									                    Agency for Workforce Innovation
                  PDA/Cellular Phone Certification Form

For the Month of:

PDA/Cellular Number:

User Name:

Instructions:
In accordance with agency Policy #4.04 (AWI Communications Equipment Policy) please
review the attached PDA/Cellular Phone invoice and highlight any charges that are not business
related. Any charges not business related should be reimbursed to the agency based on your
plan’s per minute charge, including a $3.00 processing charge. Please make check payable to the
Agency for Workforce Innovation (AWI) to reimburse the appropriate AWI funds for these
charges.



Certification:
Based on a review of the attached invoice I certify that:


□      All calls are business related


□      All non-business calls have been highlighted. A check in the amount of $        ,
       inclusive of the $3.00 processing charge, is attached to reimburse the Agency for these
       calls.



Signature of Employee                                 Supervisor’s Signature


Printed Name of Employee                              Printed Name of Supervisor


Date                                                  Date


Organization Code/Expansion Option                    Grant Number(s)



Complete and return to                                 within ten days of receipt.



GSP-102 (03/07)

								
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