P:\ACCOUNTING\Forms\Missing Receipts Form revised 080817.docx
Santa Barbara City College
721 Cliff Drive, Santa Barbara CA 93109 Phone: (805) 965-0581
Missing Receipts Form
Date: __________________________
Employee Name: ____________________________ K# ____________________
Receipts are not available for the following purchases:
Date
Vendor
Description
Amount
“This is to certify that the purchases listed above were made for legal school district
purposes only.”
Signed: ____________________________________________ Date: ______________
Cardholder
Signed: ____________________________________________ Date: ______________
Approving Official Signature
Signed: ___________________________________________ Date: ______________
2nd Approving Official Signature (Trust Funds Only)
For all non-district credit card transactions, please attach support for each expenditure
(i.e. Personal credit card statement or canceled check). Cash payments without receipts
will not be reimbursed.