Today’s Date
CHECK REQUEST FORM
(QuickBooks General Use)
___
___
Page
of
Page(s)
____ ____ 20 ___
Mo
Day
Yr
Ref. No./Inv No.
Vendor/Co
(Max 20 spaces)
____
_____ 20 ___
DATE OCCURRED
/Person: _______________________________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
MO
DAY
YR
When Due: □ Due Upon Receipt
Official transaction date that will place the expense in the appropriate month for future budgeting. Invoice date preferred rather than statement date
since statements are typically for last month. If no receipts, etc, select a date within the monthly period in which the expense occurred. I.e., last day of
□ Due Date: ___ ___
___
Not necessarily the “Today’s Date” first entered at the top of this form.
the month.
20
(MO)
DAY)
(YR)
MEMO
Customer Job
Billable
(Does not print on check or stub)
Account
This memo entry goes in QuickBooks entry.
ACCOUNT NAME
These 2 columns to be completed by
(What did you buy?)
accounting
Number
AMOUNT
Class
(Not What You Bought)
100
□
4 ea laser ink cartridges
□
510 . 520
Ink Cartridges
25 00
Yes
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
□
□
Yes
●
(Amount used for “Total” entry in QuickBooks)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
TOTAL
MEMO TO APPEAR ON CHECK,
if any:
(Keep short)
__________________________________________________________________________________________________
Remarks/Purpose:
_________________________________
Requested by:
Check Processing Instructions:
(If you have the authority to approve this request
□
□
□
Hold Check for pickup
:
Mail to Payee at payee’s address
Mail to the following
sign on “approved by” line below only)
_____________________________________________________________________________________
__________________________________
Approved by:
Mail to Name (if not Payee)
□
□
See attached approval
Recurring budgeted item no
_____________________________________________________________________________________
approval needed
Street
_____________________________________________________________________________________
City
State
Zip
SLUMC Form 1
(1.16.11