HOLMES COMMUNITY COLLEGE
Club Account Disbursement Approval
Date of Request:
Club Name:
Person Requesting:
Supervisor:
Total Amount of Disbursement Request:
$
Please issue a check to the following vendor/person:
Vendor/Person:
Vendor/Person Address:
Purpose of Disbursement:
Signature of Requestor:
Signature of Supervisor:
Please note that the Business Office must have copies of invoices before payment to a vendor will be released.
If the disbursement is a reimbursement all receipts must be presented to the Business Office before a payment
will be released.
Checks for club account disbursements will only be processed and cut on the 10
th
and 25
th
of each month.
Please plan your requests accordingly.
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