Student Activity Funds Pcard Request
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Complete Student Activity Funds Pcard Request with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1ADMINISTRATIVE FORM 3516
STUDENT ACTIVITY FUNDS
PCARD REQUEST
School name
Time/Date card requested
Person requesting card
Vendor name
Estimated $ amount
Items to be purchased
Activity account
number
Activity advisor approval
Date
Activity account name
Administrator approval
Date
Top portion must be filled out in its entirety prior to making a pcard purchase. Receipt must be turned in when purchase
is complete and pcard is returned or you may be held personally responsible for purchase charges. By submitting this
form you authorize the account(s) named above to be charged for this purpose.
Bookkeeper use only
Pcard issued
Pcard statement date
Pcard returned
Bank statement date
Yes No
Receipt received
Adjustment or manual check #
V1 01/15/16
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Parent category: Education