← Lost_or_Destroyed_Receipts_Affidavit.pdf
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MISSING RECEIPT DOCUMENTATION
CHECK ONE:
☐ Corporate Credit Card
Corporate Credit Card Reimbursement Travel
Reimbursement
Travel
Vendor Name:
Amount:
Date PurchaseG:
Items Purchased:
Purpose of Purchase:
Please explain the circumstances resulting in the missing receipt:
Please explain the action taken to obtain a duplicate receipt from the vendor:
I certify and attest that the above statements are true and I have incurred the described expenses. I further certify that these expenses were for official University purposes. I have also read and understand the University's policy requiring original receipts corporate credit card reporting and for reimbursement requests.
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