Fillable texas woman's university Missing Document Affidavit Form

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texas woman's university Missing Document Affidavit Form

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Missing Document Affidavit Form
Procurement and Contract Services AC
ACCOUNT INFORMATION
Cardholder Name
Billing Month and Year
Credit Card Number (last six digits only) AU
AUTHORIZATION INFORMATION
Account Approver Name
Account Approver Signature
MISSING DOCUMENTATION
Description
Date
Vendor
Cost
EXPLANATION OF MISSING DOCUMENTATION
CARDHOLDER AUTHORIZATION
The undersigned employee responsible for said missing documentation hereby states that the above facts are true and correct to the
best of his/her knowledge. Employee further understands that repeated incidents of missing supporting documentation for Procurement
Card transactions may be grounds for SUSPENSION and/or CANCELLATION of Procurement C
ard
privileges.
Cardholder Signature
Date
Procurement and Contract Services
P.O. Box 425439 / Bralley Annex
●
Denton, TX 76204‐5439
●
P
:
(940) 898‐3545
●
F
:
(940) 8
98-3519
Rev: 12/18
pcardacct@twu.edu
●
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texas woman's university Missing Document Affidavit Form

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Completed 3 February 2020

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