CENTRAL CONNECTICUT STATE UNIVERSITY FISCAL YEAR DOCUMENT NO.
JOURNAL ENTRY REQUEST FORM
INDEX - ACCOUNT AMOUNT DEBIT ENCUMB #
Item
Seq INDEX - ACCOUNT AMOUNT
CREDIT
ENCUMB #
Item
Seq
(D) * (If Applicable) # # (C) * (If Applicable) # #
DESCRIPTION (35 characters):
TOTAL DEBITS: TOTAL CREDITS:
JUSTIFICATION FOR JOURNAL ENTRY:
REQUESTED BY:
PHONE:___________________
DATE REQUESTED:
BUDGET MANAGER (print/type name):_____________________________________
BUDGET MANAGER (signature):______________________________________
BUSINESS OFFICE APPROVAL: DATE APPROVED: POSTED BY: DATE POSTED:
EFFECTIVE DATE:
ACCOUNTING/BUDGET USE ONLY
2019
50.00
D
BSRV00-771110
50.00
C
P-Card correction to CFO000
50.00
50.00
The Business Services P-Card was used to purchase office supplies from Office Max for the CFO. This is
to charge the CFO000 index and credit Business Services.
[Please Note: You will need to check the Banner System to find out what account the transaction was charged to before
you may submit this form to Accounting. This will take approximately 2 months from the time of purchase with a P-Card.]