Org.Name:
1
of
Amount Inv#
P
P
P
P
P
P
P
P
P
P
*ActivityCodeisoptionalasitisusedbyonlycertaindepartments.
**
Completed
W‐9fromnewvendorsmustbeattachedbeforeCRVcanbeprocessed.
72702
72703
72704
73101
73502
71201
ContractedSoftwareLicenses
Supplies
71601
71802
Hospitality
Printing&Publication
BusinessOfficeUseOnly
Signature
BudgetSupervisor(Required):
Signature
PrintedName
72701 UniversityMemberships/Dues
Equipment‐Non‐Capital
FrequentlyUsedAccounts
ContractedProfessionalServices StaffProfessionalLicenses/Dues
StudentProgramming&Entertainment
71101
71409
71411
Advertising
Rental
Conferences/ProfessionalDevelopment
Publications/Subscriptions
Travel‐Meals
71901
71501
71103
CHECKREQUESTVOUCHER
1845EastNorthgateDrive
Irving,TX75062‐4799
PO#Fund Organization Account Activity*InvoiceDate
Page
BudgetSupervisor'sCertification:IcertifythattheinformationprovidedonthisrequestisaccurateandreflectsonlyexpensesincurredinaccordancewiththepoliciesoftheUniversityofDallas.
Address
DispositionofCheck
Preparedby:
Paymentrequestmustbesupportedwithoriginalinvoice(s).Whenpaymentforgoodsisrequired,pleaseattachproofofreceipt.
PrintedName
W‐9Attached**
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
Contracted Professional Services
Conferences and Professional Development
Contracted Software Licenses
Departmental Subscriptions
Professional Licenses and Dues