Holy Cross School - Check Request Form

Holy Cross School - Check Requisition Form

Requestor Details:

Date:

Name:

Title:	First:*	Last:*

Email:

Request Details

Request For:

Payment By Check
Journal Entry

REQUESTING DEPARTMENT:		SIGNATURE:
PAYABLE TO:		NOTE: BUSINESS OFFICE APPROVAL NEEDED BEFORE PROCESSING

EXPLANATION OR DESCRIPTION (Attach supporting documentation and/or invoices)

Qty	Description/Explanation	Unit Price	Extended Price
		$	$
		$	$
		$	$
		$	$
		$	$
TOTAL AMOUNT OF CHECK / JOURNAL ENTRY			$
Are any items of permanent equipment included in the order?

APPROVED BY:

(Department Head)

(Headmaster / Principal)

Activity/Account Info: