Fillable CHECK REQUEST OR CLAIM FOR REIMBURSEMENT (Kellogg Community College)

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CHECK REQUEST OR CLAIM FOR REIMBURSEMENT (Kellogg Community College)

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Kellogg Community College
Battle Creek, Michigan
CHECK REQUEST OR CLAIM FOR REIMBURSEMENT
PAYABLE TO
ADDRESS
CITY AND STATE
The claim must be properly itemized.
ITEMIZED CLAIM
Total
I hereby certify that the foregoing account is just and correct; that the amount for charge is legally
due, after allowing all just credits; and that no part of the same has been paid.
DATE
APPROVED
DATE
AMOUNT
CHAIRPERSON/DIRECTOR
ACADEMIC DEAN AND/OR VICE PRESIDENT
DIRECTOR OF PURCHASING
ACCOUNT NO: ______________________________________________________________
$0.00
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CHECK REQUEST OR CLAIM FOR REIMBURSEMENT (Kellogg Community College)

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Completed 26 July 2020

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