Fillable Form 1: STATE OF LOUISIANA STATE LIABLITY LACARTE (SOWELA Technical Community College)

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Form 1: STATE OF LOUISIANA STATE LIABLITY LACARTE (SOWELA Technical Community College)

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____________________________ ____________________________ ____________________________
STATE OF LOUISIANA STATE LIABLITY LACARTE ‐CARD/CBA PROGRAM
CARDHOLDERSTATELIABILITYTRAVELCARD(P‐CARD)LOG–FORBILLINGCYCLE__
_
CARDHOLDERNAME:____ ________________________________
CARDHOLDERACCOUNT NUMBER(LASTFOURDIGITS):____________ _________________________
NO DATE VENDOR NAME DESCRIPTION QTY AMOUNT RECEIPT
DATE
OTHER INFORMATION
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The P‐Card/CBALogis tobeused tohelp reconcilepurchases/services made duringthebillingcyclebymatching thepapermemo statement received fromthebank
tothe P‐Card log and the documentation obtainedfrom thevendors on purchases/services.The documentation must bereviewedand certifiedbythe Cardholder as
receivedorreportedasadisputed item. Each charge/creditshouldbeverified.The Cardholdershouldthensignanddatethe P‐Card/CBAlog andforwardto his/her
Supervisor.The Cardholder’s Supervisor ordelegatedreviewer must reviewall P‐Card transactions,documentation and papermemostatement.Todocumentthis
reviewand approval,the Supervisor/Revieweristosignanddatethe P‐Card/CBA Log.After approval,the original documentation, P‐Card/CBA Log, andthepaper
memo statement areforwarded to theBusinessOffice. TheBusiness Officeisresponsibleforcostdistribution,payment,and record retention.
___________________________________________ ___________________________________________ ___________________________________________
CardholderSignature Supervisor/ReviewerSignature STCC BOReviewerSignature
Date Date Date
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Form 1: STATE OF LOUISIANA STATE LIABLITY LACARTE (SOWELA Technical Community College)

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Completed 26 July 2020

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