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Check Request Form
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Vendor Name:
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Invoice Number(s):
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School:Check #
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Amount:Purpose/Explanation of Expense:
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Account
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Department
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Fund
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Restriction$
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Requestor Signature:
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Supervisor Approval:
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Date of Approval:
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Additional Instructions/Comments:
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When is check needed by?
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Submit copy of invoice along with check request
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*Please include a copy of any Purchase Order/ Receipts/Invoices and/or proof of payment.
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