PCard
Relinquish Form
Date:
Cardholder N
ame:
Department Name:
PCard Numbe
r (last 6 digits)
This form verifies that the employee whose name is listed above has relinquished use of the Texas
Woman’s University Purchasing Card issued in their name.
Cardholder name
Signature
Please submit this completed form to Procurement and Contract Services at
pcardacct@twu.edu
Procurement and Contract Services
P.O. Box 425439 Bralley Annex Denton, TX 76204-5439 P: (940) 898-3545 F: (940) 898-3519 ● pcardacct@twu.edu
Rev: 12/18
FOR USE
BY PROCUREMENT AND CONTRACT SERVICES ONLY
Last Transaction Date: __________________________ Account Notes: ___________________________________________________________________
Date Closed (Bank): ______________ Date Closed (PS): ______________________ Closed By: ___________________________________________________
click to sign
signature
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