Purchase Date
Vendor Name
Description/Detail of Business Purpose
Total Purchase
Amount
TOTAL PURCHASE AMOUNT
APPROVAL
Cardholder Name Signature Date
Departm
ent Chair/Dean/Vice-President Signature Date
FOR ACCOUNTS PAYABLE USE ONLY Date
Verified and reviewed by:
By signing and dating this log, the Cardholder and Supervisor or Approved designee certify that the purchases above are 1) reasonable and appropriate for their department,
2) match the corresponding bank statement and 3) comply with the current UCM Business Procurement Card regulations, policies and procedures. Original receipts to
document each transaction are attached or included.
Cardholder_________________________Department______________________________ 700_________ Month & Year_________
UNIVERSITY OF CENTRAL MISSOURI
CARDHOLDER BUSINESS PROCUREMENT CARD TRANSACTION LOG
Current Blanket
Pre-Auth on File
Clear Form
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Purchase Date
Vendor Name
Description/Detail of Business Purpose
PAGE 2 PURCHASE TOTAL -$
PAGE 1 PURCHASE TOTAL
TOTAL PURCHASE AMOUNT
APPROVAL
Cardholder Name Signature Date
Department Chair/Dean/Vice-President Signature Date
FOR ACCOUNTS PAYABLE USE ONLY Date
Verified and reviewed by:
By signing and dating this log, the Cardholder and Supervisor or Approved designee certify that the purchases above are 1) reasonable and appropriate for their department, 2)
match the corresponding bank statement and 3) comply with the current UCM Business Procurement Card regulations, policies and procedures. Original receipts to document
each transaction are attached or included.
$ 0.00
$ 0.00
$ 0.00
Print