Form Wolfs-106a - Warrant Cancellation (Cx) - State Of Wyoming
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1WARRANT RETURNED TO SAO:
WOLFS-106A
AUDITOR APPROVAL
30-Nov-00
DOCUMENT APPROVAL
STATE OF WYOMING
SCREEN APPROVAL
WARRANT CANCELLATION (CX)
DATE APPROVED
Check one of the following actions:
No CX required, re-mail to address below
Warrant Cancellation - Original Warrant Attached, CX input
(Send completed form and warrant to the State Auditor for approval)
Warrant Cancellation - Original Warrant Not Attached, CX Input
(Send completed form to the State Auditor's Office for approval)
Agency Request for Cancellation of a Warrant
Agency Name
Agency Authorized Signature
Agency Number
Warrant Number
Warrant Amount
Warrant Date
Payee Name
Payee (Vendor) Number
Payee Address (street, P.O. Box, etc.)
City
State
Zip Code
Reason for Request:
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