Print Form
1906 College Heights Blvd
Bowling Green, KY 42101
(270) 745-4260
PCard Missing Receipt Form
Complete and attach this form to the PCard Monthly Statement
I, ___________________________, have either not received or have misplaced a receipt from
(vendor name) ______________________________ transaction amount $__________________
Transaction Date: _______________
Please use the space below to describe what was purchased and the business reason for the
purchase.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
I certify that the purchase described above was approved and is within the purchasing requirements
of my job.
Cardholder Signature: ____________________________________________ Date: _____________
Supervisor Signature: ____________________________________________ Date: _____________
PCard Missing Receipt Form
November 14, 2011
Reset Form