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Sample Payment Acknowledgement Receipt

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Sample Payment Acknowledgement Receipt

INTERPRETING ENGAGEMENT PAYMENT. ACKNOWLEDGEMENT RECEIPT. I, (Name of Interpreter) _____, received the total amount of _____ (amount in words), from (Name of Client)_____ for my interpreting services ...

http://pnasli.webs.com/Sample%20Payment%20Acknowledgement%20Receipt.doc

Date added: December 19, 2012 - Views: 4690

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final receipt of payment and release form

FINAL RECEIPT OF PAYMENT AND RELEASE FORM. KNOW ALL MEN BY THESE PRESENTS THAT: , hereinafter called "Subcontractor" who heretofore entered into an agreement with , hereinafter called “Contractor”, ...

http://oa.mo.gov/fmdc/dc/contractorforms/Final%20Receipt%20of%20Payment%20and%20release.dot

Date added: April 1, 2013 - Views: 157

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RECEIPT FOR PARTIAL PAYMENT - Puckett & Redford P.L.L.C.

RECEIPT FOR PARTIAL PAYMENT. BEFORE EVICTION. DATE:_____ TO:_____ _____ _____ We received your partial payment of $_____, on _____20_____.

http://puckettredford.com/forms/mm_RECEIPT%20FOR%20PARTIAL%20PAYMENT1.doc

Date added: April 28, 2013 - Views: 8

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RECEIPT - 8ws.org

Sales receipt Rent receipt Donation receipt Get also many types of invoices To delete this box, right-click on it and select Cut or Delete. Title: RECEIPT Author: מיכל מנדלסון Last modified by: LG Created Date: 5/28/2008 11:17:00 AM

http://www.8ws.org/free-docs/Receipt.doc

Date added: October 12, 2011 - Views: 236

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Receipt - PBworks

Received from: (Name) (State Agency or Patron’s Address) payment in the amount of (cash/coin/check) for photocopies/computer printouts ... State Library of North Carolina. K:\LSSAdmin\Deposit Forms\RECEIPT.DOC Received by Receipt. Library Services Section. State Library of North ...

http://statelibrarync.pbworks.com/f/RECEIPT.DOC

Date added: February 5, 2013 - Views: 5

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2007 Payment Receipt - Texas Department of Housing ...

Receipt of this form with valid ‘date received’ stamp and HTC Staff execution indicates that the document and/or fee has been received. ... 2007 Payment Receipt Subject: 2007 App Author: JBurr Keywords: 2007, multifamily, payment receipt Last modified by: TDHCA

http://www.tdhca.state.tx.us/multifamily/docs/07-PaymentReceipt.doc

Date added: November 12, 2011 - Views: 44

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Missing Receipts Affidavit Form

University of Illinois - Missing Receipt Affidavit. Refer to the Missing Receipt Affidavit information on the back of this form. Complete the form as required and obtain the authorized departmental signature and submit with travel voucher.

http://ap028a.owa.uic.edu/pcard/Missing-Receipts-Affidavit-Form-1.doc

Date added: September 17, 2012 - Views: 6

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RENT RECEIPT - Propmart

RENT RECEIPT Author: Promptmart Last modified by: Promptmart Created Date: 4/27/2005 10:33:00 AM Company: Shree Computers Other titles: RENT RECEIPT ...

http://www.propmart.com/documents/RENT%20RECEIPT.doc

Date added: May 17, 2012 - Views: 566

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Lost Receipt Form - Travel

A “Lost Receipt Certification Form” must be completed for each lost receipt and attached to the Travel and Business Expense Report ... The billing agency is unable to provide a duplicate receipt. Proof of payment is attached (i.e., credit card statement, cancelled check)

http://www.rutravel.rutgers.edu/LostReceiptForm.doc

Date added: November 19, 2011 - Views: 22

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AFFIDAVIT OF LOST RECEIPT - University of Nevada, Las Vegas

AFFIDAVIT OF LOST OR UNAVAILABLE RECEIPT. Instructions. All information requested on this form needs to be completed before it will be accepted. Please Print or Type See UNLV Receipts Policy (Disbursements Web Site),

http://accountspayable.unlv.edu/Documents/Affidavit%20of%20Lost%20Receipt.doc

Date added: November 13, 2011 - Views: 119

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Receipt of Payment on Creditor's Claim - Washington Probate Forms

FOR KING COUNTY. Estate of. GEORGE WASHINGTON, Deceased. NO. RECEIPT OF PAYMENT ON. CREDITOR'S CLAIM I/We have received payment in satisfaction of my/our Creditor's Claim filed in the foregoing estate and release the estate from any and all indebtedness it may have in my/our favor.

http://www.probate-form.com/Probate/Administer/Receipt-Payment-Claim.doc

Date added: October 14, 2011 - Views: 11

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Family Reunion Fee Payment Plan Form - myevent.com

Family Reunion Fee Payment Plan Form. We understand that some may be on a tight budget. So for your convenience and because we really want you and your family to attend, you can utilize our installment plan and complete your payment by . May 20, 2011.

http://www.ptsfamily.myevent.com/clients/72784/File/Family%20Reunion%20Fee%20Payment%20Plan%20Form.doc

Date added: November 11, 2011 - Views: 19

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SAMPLE RECEIPT - New York Safety Program

*This is what your receipt should look like with all this information on it. Please fax, mail, or e-mail us a copy of your receipt.* New York State Point/Insurance Reduction Program

http://www.nysp.com/forms/word/SAMPLE_RECEIPT.doc

Date added: October 29, 2011 - Views: 329

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Letter to beneficiary with the inheritance payment

I would be grateful if you could sign and return the enclosed form to acknowledge its safe receipt. Yours sincerely <Name> Enclosures: Cheque. Receipt of inheritance payment. Title: Letter to beneficiary with the inheritance payment Author: Sass Last modified by: Sass Created Date: 12/3/2008 5 ...

http://www.bereavementadvice.org/uploads/DOC493E8DDCD9FD3.doc

Date added: April 12, 2012 - Views: 390

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Registration Form - IJOART

IJOART - Registration Form. http://www.ijoart.org. Please fill in the form and send it via email together with a screen capture of the online payment receipt or bank receipt as proof of payment to: editor@[email protected] (USA)

http://www.ijoart.org/docs/registrationform.doc

Date added: November 23, 2012 - Views: 4

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Receipt Requirements - VA-FSC Internet Home

An e-ticket confirmation/receipt form reflecting passenger name, class, flight, date, and price charged. ... Accommodations other than a hotel require a copy of the lease and proof of payment (receipt) or cancelled check (front and back).

http://www.fsc.va.gov/FSC/docs/PCS/PcsExpenseFormRequirementsForTransferees.doc

Date added: May 10, 2012 - Views: 41

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PAYMENT INFORMATION - Dane County

PAYMENT RECEIPT. Use this form for payment by cash, check or money order to the Clerk of Courts office. Payment should be made at the earliest possible opportunity to continue your work at FCCS.

http://danedocs.countyofdane.com/webdocs/doc/court/FCCS_Payment_Info.DOC

Date added: October 14, 2012 - Views: 8

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LIFE INSURANCE CORPORATION OF INDIA

POLICYHOLDERS’ MANDATE FORM FOR PAYING PREMIUM THROUGH. ELECTONIC CLEARANCE SERVICE (DEBIT CLEARING) ... We acknowledge the receipt of the mandate and note to carry out the customer’ instructions as per mandate given. ... While making the payment for dishonoured installment, ...

http://www.licindia.in/altpay/alch8002_files/ECS-direct_debit_MANDATE_FORM.doc

Date added: October 17, 2012 - Views: 62

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Receipt Requirements - VA-FSC Internet Home

For those receipts that reflect a balance due, you must submit proof of payment with the invoice. ... An e-ticket confirmation/receipt form reflecting passenger name, class, flight, date, and price charged.

http://www.fsc.va.gov/FSC/docs/PCS/PCSExpenseFormRequirementsforTranferees.doc

Date added: July 18, 2012 - Views: 30

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How to Fill Out a Tupperware Order Form - Plastics and More

Fill out order form completely (seal color is only filled in when you have a color . choice). ... customer requires a receipt at the time of payment, the yellow receipt is. perforated; separate the bottom from the top and give the bottom portion to the.

http://plasticsandmore.com/files/How_to_Fill_Out_a_Tupperware_Order_Form.doc

Date added: March 4, 2012 - Views: 3

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Form A-473 - Missouri Department of Transportation

Form A-473. Rev. 05-06 Missouri Highway Employee’s Voluntary Life Insurance - RECEIPT OF PAYMENT - Date: Dist/Div/Troop: ... - RECEIPT OF PAYMENT - Date: Dist/Div/Troop: Received by: SS #: Paid by: Premium paid for month(s) of: $ Make ...

http://www.modot.org/newsandinfo/documents/VoluntaryManualPaymentReceipt.doc

Date added: January 25, 2013 - Views: 24

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Claim Form - ASIFlex

... when it was completed and a paid receipt to claim an initial down payment or appliance fee. ... This information must be provided by the store, not just listed by the participant on the receipt or on the claim form. Starting with purchases January 1, ...

http://www.asiflex.com/Forms/ClaimForms/State%20of%20CA/claim.doc

Date added: April 30, 2012 - Views: 14

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Receipt Format - A to Z Forms

Receipt Format. Bill RECEIPT. DATE[----- 00, 0000]Bill Details. COMPANY [Name of company][Address of company][Contact of company][www.officetemplates.in] CUSTOMER: [Name: -----] [Address ...

http://www.azforms.org/wp-content/uploads/2013/03/payment-Receipt-Form.docx

Date added: August 9, 2013 - Views: 2

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HEAVY VEHICLE USE TAX -- (HVUT) PROOF OF PAYMENT

Mail a copy of your proof of payment that you received from the IRS (Form 2290 stamped ‘payment received’) to the Bureau of Motor ... you still are required to mail or fax the form showing the IRS receipt to the Bureau of Motor Vehicles, HVUT Section. IRS Regional Offices ...

http://www.maine.gov/sos/bmv/registration/HEAVY%20VEHICLE%20USE%20TAX%208-11.doc

Date added: September 8, 2012 - Views: 7

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Lost Receipt Verification Form - Pittsburg State University

This form is to be used when a receipt or invoice has been misplaced, destroyed or is not available. Complete all necessary information and submit form with Department Purchase Requisition or Procurement Card Log.

http://www.pittstate.edu/office/purchasing/forms/lostveri.doc

Date added: August 9, 2013 - Views: 2

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REAL ESTATE PURCHASE CONTRACT AND RECEIPT FOR DEPOSIT

The total cash down payment to be deposited with escrow, including the above deposit . . . . . . . . . . . . . . . . . . . . . ($ _____) C. Buyer to obtain a ... The undersigned acknowledges receipt of a copy of this Contract and authorizes Broker(s) ...

http://www.countyrecordsresearch.com/Forms/REAL%20ESTATE%20PURCHASE%20CONTRACT%20AND%20RECEIPT%20FOR%20DEPOSIT010208.doc

Date added: October 20, 2011 - Views: 150

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Credit Card Payment Plan Authorization Form

Credit Card Payment Plan Authorization Form. You can pay off your balance with a simple automated payment plan. ... You authorize the regularly scheduled charges to your credit card. A receipt will be emailed for each payment that includes information on how much you’ve paid off, ...

https://www.paysimple.com/paysimple30_help/templates/Auth_Form-PaymentPlan--CC.doc

Date added: February 15, 2013 - Views: 15

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MISSING RECEIPT FORM SAMPLES - Delgado Community College

I have accepted the cardholder’s explanation of the loss and inability to obtain a duplicate receipt; therefore, I am authorizing payment of the receipt or invoice in light of the circumstances ... MISSING RECEIPT FORM SAMPLES Author: ttoups Last modified by: Laiche, Karen M. Created Date: 8/3 ...

http://docushare3.dcc.edu/docushare/dsweb/Get/Document-3778/3300-012+Purchasing+Card+Missing+Document+Affidavit+Form.doc

Date added: January 28, 2012 - Views: 7

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Receipt of Compensation Form - Michigan Technological University

A payment will only be processed when proper forms are submitted. Receipt of Compensation Form. for participation in [insert name of study] By signing below:

http://www.mtu.edu/research/administration/integrity-compliance/docs/Receipt%20of%20compensation%20form%20with%20instruction2.doc

Date added: June 26, 2012 - Views: 17

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Data Binder Receipt - Office of Facilities Development

Use this form or a reasonable facsimile to verify delivery of Data Binders. Fill in the identifying information following this paragraph, then use the prepared form as a receipt, ... Provide a copy of the receipt with the application for payment. 1.

http://ofd.tbr.edu/DesignersManual/Files/s017825.doc

Date added: January 16, 2013 - Views: 4

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RECIEPT FOR PAYMENT OF CHILD CARE SERVICES

RECEIPT FOR PAYMENT OF DEPENDENT CARE SERVICES (Please submit with a completed Dependent Care Claim Form) Dependent Care Services Provided By: Name:

http://www.beaconelectronics.com/hr/BTI%20DCA%20Receipt%20Form%202005.doc

Date added: March 16, 2013 - Views: 8

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PAYMENT INFORMATION - countyofdane.com

PAYMENT RECEIPT. Use this form for payment by cash, check or money order to the Clerk of Courts office. Payment should be made at the earliest possible opportunity to continue your work at FCS. This receipt will be filed in the Family Court Services office, ...

http://doc.countyofdane.com/court/Family_Court_Counseling_Service_Fees.doc

Date added: May 21, 2012 - Views: 3

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ACH Payment Plan Authorization Form - PaySimple

ACH Payment Plan Authorization Form. You can pay off your balance with a simple automated payment plan. ... You authorize the regularly scheduled charges to your checking or savings account. A receipt will be emailed for each payment that includes information on how much you’ve paid off, ...

http://www.paysimple.com/paysimple30_help/templates/Auth_Form-PaymentPlan--ACH.doc

Date added: May 2, 2013 - Views: 7

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MEMORANDUM - Rutgers - Bloustein School

LOST/MISSING RECEIPT CERTIFICATION FORM. If an original receipt is lost, or an original itemized receipt is unavailable, the traveler must ask the billing agency for a duplicate.

http://www.policy.rutgers.edu/business/files/LostReceiptForm.doc

Date added: October 12, 2013 - Views: 1

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Request for Tuition Fee Receipt - 诺森比亚大学中文网

Deposit Payment Form. As soon as you have paid your deposit please complete this form and return it as soon as possible with your completed Offer Acceptance Form. ... Request for Tuition Fee Receipt Author: ullt1 Last modified by: Zone 2 IT Services Created Date: 1/19/2010 8:27:00 AM

http://www.northumbriachina.com/uploads/20111117/20111117161175787578.doc

Date added: May 11, 2013 - Views: 38

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RECEIPT AND WAIVER OF MECHANIC’S LIEN RIGHTS

Date: The undersigned hereby acknowledges receipt of the sum of $ For: PARTIAL PAYMENT for material, labor or service. FULL AND FINAL PAYMENT for material, labor or service

http://www.cptitle.com/docs/Lien%20Waiver.doc

Date added: November 14, 2011 - Views: 18

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fcmkc.com

The following information is required on a cash payment receipt:Loan# Borrower NameAmount PaidPayment for: AppraisalSignature of person receiving the payment and date receivedSignature of payee ... FCM has attached a standard Cash Payment Receipt Form. Author: cuddy

http://fcmkc.com/wwp/wp-content/uploads/2012/11/Appraisal-Invoice-and-Payment-Receipt-Policy.docx

Date added: August 9, 2013 - Views: 2

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RECEIPT - Connecticut

The phrase "Federal financial assistance" includes any form of loan, grant, guaranty, insurance payment, rebate, subsidy, disaster assistance loan or grant, ... RECEIPT Author: PiperR Last modified by: pahlj Created Date: 2/17/2005 11:45:00 AM

http://www.ct.gov/demhs/lib/demhs/emergmgmt/receipt_list_assurances.doc

Date added: November 4, 2011 - Views: 9

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AFFIDAVIT OF LOST RECEIPT - University of Nevada, Las Vegas

AFFIDAVIT OF LOST RECEIPT. Instructions. All information requested on this form needs to be completed before it will be accepted. Please Print or Type See UNLV Receipts Policy (Disbursements Web Site),

http://accountspayable.unlv.edu/Trvlman/AFFIDAVIT%20OF%20LOST%20RECEIPT.doc

Date added: February 9, 2013 - Views: 1

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Concur FAQs - Santa Clara University

Attach the Missing Receipt Form to your business Expense Report just like you would with a regular receipt (fax or scan). ... car rental contract, itemized receipt and proof of payment is needed for rentals (rental insurance is not reimbursable)

http://www.scu.edu/finance/training/upload/Concur-FAQs-060311.doc

Date added: January 27, 2012 - Views: 39

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VERIFICATION OF RECEIPT BY DEPARTMENT - APTE

Verification of Receipt by Department. The following form is used to record the receipt of invoices from the partners. APTE uses the University of Alaska Anchorage Banner accounting system.

http://www.apte.alaska.edu/Forms/Subcontract_Verification_Of_Receipt.doc

Date added: October 14, 2011 - Views: 5

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Covered Electronic Waste Transfer Receipt, CIWMB 197

Title: Covered Electronic Waste Transfer Receipt, CIWMB 197 Author: CIWMB Description: This form may be used by Approved Collectors and/or Approved Recyclers when materials are transferred between an Approved Collector and an Approved Recycler.

http://www.calrecycle.ca.gov/Electronics/Forms/CIWMB197.doc

Date added: February 5, 2012 - Views: 2

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MISSING RECEIPT FORM SAMPLES - Southern University

I have accepted the cardholder’s explanation of the loss and inability to obtain a duplicate receipt; therefore, I am authorizing payment of the receipt or invoice in light of the circumstances involved. ... MISSING RECEIPT FORM SAMPLES ...

http://www.subr.edu/assets/ComptrollerOffice/FACD/LaCarte/missingreceiptformsample.doc

Date added: August 9, 2013 - Views: 1

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Receipt - EHS 2014 | European Hernia Society - Home

AUTHORISATION FOR CREDIT CARD PAYMENT . DELEGATE NAME ... Please either email this completed form to [email protected] or fax to. ... Title: Receipt Author: Stephaniem Last modified by: Deborah Christie Created Date: 7/2/2013 9:17:00 AM Company: Meeting ...

http://www.ehs2014edinburgh.org/userfiles/file/Credit%20card%20payment%20EHS%202014.doc

Date added: November 26, 2013 - Views: 2

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California State University Channel Islands

I have attached a duplicate of the receipt from the billing agency and proof of payment. ... Lost/Missing Receipt Form. Title: California State University Channel Islands Author: rhonda.tyacke Last modified by: Windows User Created Date:

http://www.csuci.edu/accountspayable/csuci-lost-missing-receipt-form.doc

Date added: July 11, 2013 - Views: 1

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PAYMENT REQUEST - Georgia State University

PAYMENT REQUEST. For Non ... receipt of goods, or (3) receipt of invoice. A memo of explanation must accompany all requests for payments ... The number shown on this form is my correct tax identification number and I am not subject to backup withholding either because I have not ...

http://www2.gsu.edu/~wwwspc/Forms/paymentrequest.doc

Date added: April 8, 2012 - Views: 4

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… Return Doc - Welcome - International Student and Scholar ...

If paying with U.S. check/money order/foreign draft by mail, after paying wait to receive form I-797 payment receipt from immigration via mail . and. submit receipt with visa application. Be sure to allow enough time for immigration to process fee and return receipt by mail.

http://international.cua.edu/res/docs/students/sevis-fee.doc

Date added: October 12, 2011 - Views: 30

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Acknowledgement of Receipt of Privacy Notice

This Acknowledgement, which allows the Practice to use and/or disclosure personally identifiable health information for treatment, payment, or healthcare operations, is made pursuant to the requirements of 45 CFR $164.520(c)(2)(ii), part of the federal privacy regulations for the Health ...

http://www.strivephysicaltherapy.com/wp-content/uploads/2010/12/5AcknowledgementofPrivacyNoticeForm.doc

Date added: October 21, 2011 - Views: 11

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1 - U.S. Bank

When submitting a receipt for a co-payment amount, please be sure the co-payment description is on the ... to substantiate purchases made with your debit card must be submitted with a copy of a Receipt Reminder or a Receipt and Substantiation Form. Step 1: Participant Information *=Required ...

http://www.mycdh.usbank.com/resources/pdf/CDH610%20FRRF%20FSA%20Reimbursement%20Request%20Form.doc

Date added: February 4, 2012 - Views: 25

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ORIGINAL RECEIPT DECLARATION OF MISSION DOCUMENT

AND/OR PAYMENTS MADE ON BEHALF OF “THE REGENTS OF THE. UNIVERSITY OF CALIFORNIA, RIVERSIDE” Instructions: Copy this form as needed. Attach this completed form to the Travel Expense Voucher (Form U85) or the Check Request (Form U5) in place of a missing original receipt.

http://accounting.ucr.edu/docs/travel/dme.doc

Date added: September 28, 2012 - Views: 2