← Staple receipts to the back of this page here.
Receipts should be in chronological order
- oldest on the top.
Residential Services, Inc.
Food Lion Accounting
st
th
(To be submitted on the 1
and 15
of each month)
Location: _____________________________
Month / Year: ____________________
st
th
This form is to be submitted on the 1
and 15
of each month. Attach corresponding Food Lion
receipts to this form. Food Lion purchasing guidelines, as outlined in the charge authorization
form, must be followed. Please provide an explanation of any atypical charge in the “note” column.
Store
Amount of
Date:
Invoice #:
Purchaser:
Notes:
Location:
Sale: $
Total:
______________________________________________
__________________
Reviewing Supervisor’s Signature
Date
RSI-PRO 02-10 A
3/2015