Payment Voucher

Please click HERE to find the Budget Account Number needed

Date

Budget Account #

Requester Name/Title

Check Details

Amount

Payable to: (name)

Address

This address will receive a confirmation email

Memo on Check

Explanation

Need by: Date

Delivery Method

Pick up Mail

For Office Use Only

Approval: Board of Trustees

Approval: Treasurer

Check Number and Checking Account

Date and Method of Distribution

Entered into Quickbooks Date

Entered into Quickbooks By

Description

Please fill out this form and click submit.