2018/19 Purchase Card Expenditure Report Form.xls
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Public Schools of the City of Muskegon
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Finance Office-Hackley Administration Building
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PURCHASE CARD EXPENDITURE REPORT FORM
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(Please remember that you have item, daily and monthly limits.)
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Statement Month
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Cardholder Name:
Date
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Department or BuildingLast 4 digits Card #
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Receipt #DateVendorItemAccount CodeAmount
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Date of PurchaseWhere Purchase was madeTeaching supplies, custodial supplies, etcSee "Chart of Accounts"Amount of purchase
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Expenditure Total $ -
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Total Net Charges on Statement
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Difference (should be -0-) $ -
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CARDHOLDER Signature:SUPERVISOR Signature:
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Your signature certifies the district has received the above goods or services. Form MUST be properly signed.
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Receipts attached?
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If no, reimbursement to the district is required at the time form is submitted.
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Conference Expenses?
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xx-x-xxx-3220-
If yes, attach a copy of the Approved Conference Form
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Sales Tax?
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If yes, reimbursement to the district at the time form is submitted (unless for meals).
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Meal Expenses?
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If yes, Who Attended, What was Ordered, Purpose of the Meeting
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Gift Cards?
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If yes, submit list of people who received them (unless purchased from activities accounts.
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Parent Involvement?
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xx-x-331-
If yes, submit flyer and sign-in sheets.
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Forward completed Expenditure Report, receipts and supporting documents to Jared Petrowski at jpetrows(mpsk12.net).
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For additional copies of this form please go to muskegonpublicschools.org: click on "District / Finance" / scroll to "Purchase Cards" and click on "2018-2019 Purchase Card Expenditure Form".
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