ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
IRON MOUNTAIN PUBLIC SCHOOLS
2
CREDIT CARD EXPENSE FORM
3
4
TO BE COMPLETED BY EMPLOYEE:
5
6
NAME OF EMPLOYEE USING CREDIT CARD:
7
DATE:
8
CREDIT CARD # :
9
PURPOSE OF PURCHASE:
10
11
PLEASE FILL OUT THE FOLLOWING INFORMATION FOR EACH CREDIT CARD PURCHASE:
12
(DETAILED, ITEMIZED RECEIPTS MUST BE ATTACHED FOR EACH PURCHASE)
13
14
DATEVENDORAMOUNT
15
16
17
18
TOTAL $ $ -
19
20
PLEASE FORWARD THIS FORM TO YOUR BUILDING ADMINISTRATOR
21
22
TO BE COMPLETED BY ADMINISTRATOR:
23
(PLEASE COMPLETE ONLY ONE OF THE FOLLOWING OPTIONS)
24
25
1.
THESE PURCHASES ARE TO BE CHARGED TO THE FOLLOWING ACCOUNT(S):
26
ACCOUNT NUMBER (S)
AMOUNT
27
28
29
30
TOTAL $ $ -
31
32
OR:
33
34
2.
THESE PURCHASES ARE TO BE BILLED TO AN OUTSIDE ORGANIZATION:
35
NAME OF ORGANIZATION:
36
SPECIAL BILLING INSTRUCTIONS:
37
38
39
40
ADMINISTRATOR SIGNATURE:
41
DATE:
42
43
TO BE COMPLETED BY SUPERINTENDENT'S OFFICE:
44
45
SUPERINTENDENT SIGNATURE:
46
DATE:
47
48
FORM # CD-2 ADMINISTRATIVE GUIDELINE# 6423F1
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100