Fillable Request for Reimbursement (University of Houston)

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Request for Reimbursement (University of Houston)

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The Request for Reimbursement (University of Houston) form is 1 page long and contains:

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  • 0 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

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Name:
Check one: UH Faculty UH Student
UH Staff
Other (specify)
Home
Address
Description of item(s) purchased.
Item Vendor
Amount
(Price)
Date of
Receipt
Total -$
Purpose and Benefit of this purchase to the mission of the university.
Be specific. A general and broad statement will not be accepted.
Amount of Reimbursement
$:
Cost Center to Charge:
Fund codes: 2064, 2160, 2164 prohibit food/entertainment
Fund Code 2072 prohibits alcohol.
Signature of Payee Date
Signature of Supervisor Date
Form Revised 7/29/09
Request for Reimbursement
Non-Travel and Non-Business Meal Reimbursements
(Itemized Receipt Required)
Z:\ChemScan_Forms\Reimbursement Forms\Reimbursement_NonBusiness Meals
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Request for Reimbursement (University of Houston)

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Completed 13 January 2022

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