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Cheque Requisition
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Email form to reimbursements@ams.ubc.ca
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Club/Department Name: 453 CUS c/o AMS
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Date:
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Account CodeAmount
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eg. 412-7204-00eg. $50.65
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TOTAL$0.00
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Cheque Payable to:
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Purpose of Cheque:
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Initiators Contact Information:
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Initiated By:
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Treasurer's Signature:
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Complete Mailing Address
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or Indicate "Pick-up"
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For Office Use Only
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Office Authorization:
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Verification:
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Vender Number:
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Cheque Number:
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Date:
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