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2 PURCHASE PAID OUT - Notes Paid Out/Return Amount Paid Out...

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Purchase/Paid Out Authorization ***Items MUST be purchased within 24 hours (1 day) of authorization*** Request Store: _______________________________ Date of Request: ____________________ Person Making Request: ____________________________ Anticipated Amount: $_________________ Buying From: ______________________________ Item(s) Requested: ____________________________________________________________________ ___________________________________________________________________________ _________ ___________________________________________________________________________ _________ Reason for Request: ___________________________________________________________________ ___________________________________________________________________________ _________ Urgency: Very Urgent / Somewhat Urgent / Not Urgent Authorization Approved: Yes / No Amount Approved: $_________________ Date: _________________ Signature: ________________________________________
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Unformatted text preview: Notes: ___________________________________________________________________________ ___ ___________________________________________________________________________ _________ Paid Out/Return Amount Paid Out Amount: $________________ PO receipt Actual Spent: $ ________________ Return Amount: $ ________________ RA receipt Purchased by credit card: Yes / No Purchased By: ______________________________ Where: _________________________________ Recorded on CDR: Yes / No Date: ____________________ Revised 8/30/10 JP Receipt Copied : Yes / No Faxed to Corp : Yes / No Notes:_______________________________________________________________________ __________________________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ __________ Revised 8/30/10 JP...
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