Jackson State Community College
Jackson, Tennessee
CHECK REQUISTION
Date:
Department:
Ledger No.: Account No.: Account Control/Object:
Account Title:
To: Business Office
Please draw check(s) to individuals or firms listed below:
Date of
Check
Check
No.
Payee
(Give Address) Purpose Amount
Total:
APPROVED:
Requisitioner and/or Department Head
Dean and/or Vice President
Vice President for Financial and Administrative Affairs
Attach copies of invoices, sales slips, or requisitions on pre-paid expenses.