Forms - Payment Request
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1Office Use Only
Faith Presbyterian Church of East Parker County
Page
________
PAYMENT / DEBIT REQUEST FORM
SOURCE
LOGOS
MANUAL
BILL PAY
DEBIT
SUBMIT DATE ______________
CHECK #
______________
SUBMITTED BY______________________________________________________
FINANCE TEAM 1)
____________________________
APPROVAL 1) _______________________________________________________
FINANCE TEAM 2)
____________________________
over $500
APPROVAL 2) _______________________________________________________
DATE PAID ___________ DATE TO PAY ____________
PURCHASED FROM __________________________________________________
DATA ENTRY BY _____________________
REASON ____________________________________________________________
DATE
CHECK PAYABLE TO
new
address change
Address 1
Address 2
City, State, ZipCode
Email, Phone, Fax, Web Site
INVOICE
DUE
INVOICE
SUPPLIER
DATE
ITEM PURCHASED DETAILS
DATE
NBR
(if more than the one above)
AMOUNT
use another sheet for more purchase details
Total
Select Applicable Payment Categories
Programs
Amount
GA Mission & Benevolence
Amount
Children Ministry
GA Mission
5000-010-00
5400-010-00
Rising Disciples
Miscellaneous Benevolence
5000-030-00
5400-020-00
Youth Ministry
Care Team
5000-050-00
Stationary Items & Bag Items
Adult Ministry
5500-010-00
5000-070-00
Postage
Music Ministry
5500-020-00
5000-090-00
Gifts
Worship Ministry
5500-030-00
5000-100-00
Property
Faith Presbyterian Day School
Utilities
5000-110-00
5800-010-00
Evangelism
Rent Debt Service
Advertising
5800-015-00
5100-010-00
Rent
Promotions
5800-020-00
5100-020-00
Facilities
Vacation Bible School
5800-030-00
5100-021-00
Repairs & Maintenance
Christmas Tyme in Aledo
5800-040-00
5100-022-00
Special Funds
Hospitality / Fellowship
Rising Disciples
Meals & Food
5910-610-00
5200-010-00
Youth
Finance / Administration
5910-620-00
Supplies & Postage
Troop
5300-010-00
5910-630-00
Insurance
Building Fund
5300-030-00
Architect Fees
Membership, Dues, Security
5960-010-10
5300-040-00
Legal Fees
Finance & Membership System
5960-020-10
5300-050-00
Interim Finance
General Finance
5960-030-10
5300-070-00
Closing Cost
Communications
5960-040-10
Web Support
Construction Cost
5600-010-00
5960-050-10
Other (Explain)
PAYMENTS WILL NOT BE MADE PRIOR TO RECEIVING PROPER DOCUMENTS AND SIGNATURES (See lines marked with
)
IT IS THE REQUESTOR'S RESPONSIBILITY TO OBTAIN PROPER APPROVAL SIGNATURES BEFORE PRESENTING FOR PAYMENT
TAX IS NOT REIMBURSED SO MAKE SURE TO OBTAIN A TAX EXEMPT FORM
ATTACH Attach receipts, statements and/or invoices
INVOICE NBR COLUMN For receipts with no receipt number, enter 'RCPT'
For bills with no invoice number, enter 'STMT'
For DEBIT Card receipts, enter 'DEBIT'
For automatic charge with no receipt number, enter 'ACH'
APPROVAL 1 / APPROVAL 2 Obtain the signature(s) of the authorized sponsor(s) - over $500 requires APPROVAL 2
FINANCE 1 / FINANCE 2 Obtain the signature(s) of the authorized check signers - over $500 requires FINANCE 2
DETAILS Select all payment categories that apply to this payment request
and note the amount for each payment category
ANY MEMBER OF SESSION OR STAFF CAN AUTHORIZE PAYMENTS
1004 05/29/2009
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