Voucher Requisition Form
Serial # _________
Part 1:
Request Date: __________Date Check Needed: __________ Pick
Up Date: ________
Requesting
Ministry/Person: _____________________________
Title: _____________
Reason for Disbursement:
___________________________________________________
Make Check Payable to: ________________________________
Amount: ____________
Mail to:
___________________________________________________________________
Part 2: (Please note that receipts for all
transactions are required, must be
Listed below, and promptly returned to the Finance Administrative Team)
:
Coordinators or designees, Itemize
your Budget Request(s) here:
Vendor Name (Receipts) Amount
|
$ |
|
$ |
|
$ |
|
$ |
|
$ |
TOTAL $_______________
(For Office Use Only) Itemize Budget
Request Disbursements here:
Budget Category Itemization Amount
|
$ |
|
$ |
|
$ |
|
$ |
TOTAL $______________
Check Number:__________________ Check Amount:$__________
Date of Disbursement:_____________ By:______________________
Part 3: Please not e that at least two signatures are
required for approval.
Finance Administrative Team
Member: __________________________ Date__________
Finance Administrative Team
Chair: ____________________________ Date__________
Pastor or his Designee:
_______________________________________ Date__________