Org.Name:
1
of
Amount Inv#
P
P
P
P
P
P
P
P
P
P
*ActivityCodeisoptionalasitisusedbyonlycertaindepartments.
**

Completed
W9fromnewvendorsmustbeattachedbeforeCRVcanbeprocessed.
72702
72703
72704
73101
73502
71201
ContractedSoftwareLicenses
Supplies
71601
71802
Hospitality
Printing&Publication
BusinessOfficeUseOnly
Signature
BudgetSupervisor(Required):
Signature
PrintedName
72701 UniversityMemberships/Dues
Equipment‐NonCapital
FrequentlyUsedAccounts
ContractedProfessionalServices StaffProfessionalLicenses/Dues
StudentProgramming&Entertainment
71101
71409
71411
Advertising
Rental
Conferences/ProfessionalDevelopment
Publications/Subscriptions
Travel‐Meals
71901
71501
71103
CHECKREQUESTVOUCHER
1845EastNorthgateDrive
Irving,TX750624799
PO#Fund Organization Account Activity*InvoiceDate
Page
BudgetSupervisor'sCertification:IcertifythattheinformationprovidedonthisrequestisaccurateandreflectsonlyexpensesincurredinaccordancewiththepoliciesoftheUniversityofDallas.
Address
DispositionofCheck
Preparedby:
Paymentrequestmustbesupportedwithoriginalinvoice(s).Whenpaymentforgoodsisrequired,pleaseattachproofofreceipt.
PrintedName
W9Attached**
Vendor
Approvedby:
Task Initials Date
PayDateAssignedby:
AuditedBy:
Vendor#Assignedby:
Keyedby:
Fund/Org/Acctreviewedby(ifapplicable):
Travel‐Transportation
Ext
PayDate:
BannerInvoice#:
Vendor#:
Date
Purpose/BenefittoUD
Revised5/1/2014
Fund
1/13/2015
Organization
Account
Activity*
Amount
Invoice Date
PO Number
0.00
0.00
0.00
Page 1 Total
Page 2 Total
CRV Total
Disposition of Check
Mail
Hold for Pick-up
71101
Contracted Professional Services
71601
Advertising
72703
Conferences and Professional Development
71103
Contracted Software Licenses
71802
Rental -- Other
72704
Departmental Subscriptions
71201
Supplies
71901
Printing and Publication
73101
Non-Capital Equipment
71409
Travel -- Transportation
72701
Memberships and Dues
73502
Student Programming
71501
Hospitality
72702
Professional Licenses and Dues
Revised 1/1/2015
Org.Name:
Amount Inv#
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
Page2Totals:
Fund Organization Account Activity*
CHECKREQUESTVOUCHER
1845EastNorthgateDrive
Irving,TX750624799
InvoiceDate PO#
Revised5/1/2014
Fund
Organization
Account
Activity
Amount
Invoice Number
Invoice Date
PO Number
0.00
Page 2 Total
Revised 1/1/2015