PRESBYTERIAN COLLEGE
CHECK REQUEST
Use this form when no invoice is available. Please submit this form as soon as the details of the commitment are
known. Attach any documentary support you may have for this expenditure. Examples are contracts, program
descriptions, correspondence and invoices paid by others that will be reimbursed. Do not use this form for employee
compensation for services.
Check Due Date _____/_____/_____ Date ___________________
Check Payable to _________________________________________ Amount $ _______________
Address ___________________________________________________________________________
City/State/Zip _______________________________________________________________________
*If individual, please supply completed W-9 Form
Mail Check to vendor - or - Return check to person requesting
Purpose of payment
__________________________________________________________________________________
(First 14 characters display on budget screen)
Account Distribution
Requested by ______________________________________________ Extension __________________
___________________________ ____________ ___________________________ ____________
Requisitioner Signature Date Department Head Signature Date
___________________________ ____________ _________________________ ____________
Dean Signature Date Officer Signature Date
___________________________ _____________
VP Finance Signature Date
(if over $5,000)
06/2017
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit