[
    {
        "page": 1,
        "items": [
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 397.92,
                    "t": 769.68,
                    "r": 559.44,
                    "b": 745.92
                },
                "text": "<table><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr><tr><td></td></tr></table>",
                "reading_order": 0
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 159.6,
                    "t": 736.08,
                    "r": 567.84,
                    "b": 698.04
                },
                "text": "EMPLOYEES OR STUDENTSEmployee ID or Student ID VENDORSVendor ID",
                "reading_order": 1
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 159.6,
                    "t": 698.04,
                    "r": 567.84,
                    "b": 660
                },
                "text": "REQUIRED for Employees/Students REQUIRED for Vendors",
                "reading_order": 2
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 173.455,
                    "t": 707.563,
                    "r": 323.455,
                    "b": 685.563
                },
                "text": "########################",
                "field_kind": "text",
                "label": "########################",
                "pdf_field_name": "Employee or Stu ID",
                "pdf_field_type": "Text",
                "reading_order": 3
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 386.184,
                    "t": 707.563,
                    "r": 536.184,
                    "b": 685.563
                },
                "text": "% ' () ! \" (",
                "field_kind": "text",
                "label": "$ %& $ ' () ! \" (",
                "pdf_field_name": "Vendor ID Number",
                "pdf_field_type": "Text",
                "reading_order": 4
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 48.24,
                    "t": 648.96,
                    "r": 561.84,
                    "b": 633.84
                },
                "text": "CHECK DISTRIBUTION INSTRUCTIONS: Date Required ___\n☐ Mail ☐ Mail with Attachment(s) ☐ Pick-Up: Call ___ x",
                "reading_order": 5
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 343.638,
                    "t": 657.818,
                    "r": 558.438,
                    "b": 635.818
                },
                "text": ", ,- , , , . / $ 0 1 !",
                "field_kind": "text",
                "label": ", ,- , , , . / $ 0 1 !",
                "pdf_field_name": "Date Required",
                "pdf_field_type": "Text",
                "reading_order": 6
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 248.019,
                    "t": 628.672,
                    "r": 266.019,
                    "b": 610.672
                },
                "text": "@ , A,-",
                "field_kind": "radio",
                "label": "@ , A,-",
                "pdf_field_name": "Chk distribution option",
                "pdf_field_type": "RadioButton",
                "value": "Off",
                "reading_order": 7
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 45.84,
                    "t": 630.48,
                    "r": 562.32,
                    "b": 607.44
                },
                "text": "○Mail ○Mail with Attachment(s) ○Pick-Up: Call ___x___",
                "reading_order": 8
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 508.473,
                    "t": 633.254,
                    "r": 564.218,
                    "b": 611.254
                },
                "text": "23/1 23/1 41 5 6 /75 \" 8(9 2:17;<& = >/ ############################ ?#########",
                "field_kind": "text",
                "label": "23/1 23/1 41 5 6 /75 \" 8(9 2:17;<& = >/ ############################ ?#########",
                "pdf_field_name": "Phone Ext",
                "pdf_field_type": "Text",
                "reading_order": 9
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 333.82,
                    "t": 632.29,
                    "r": 498.22,
                    "b": 610.29
                },
                "text": "@ , A,-",
                "field_kind": "text",
                "label": "@ , A,-",
                "pdf_field_name": "Contact Name",
                "pdf_field_type": "Text",
                "reading_order": 10
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 48.1275,
                    "t": 628.017,
                    "r": 66.1275,
                    "b": 610.017
                },
                "text": "> \" /7 E/",
                "field_kind": "radio",
                "label": "> \" /7 E/",
                "pdf_field_name": "Chk distribution option",
                "pdf_field_type": "RadioButton",
                "value": "Off",
                "reading_order": 11
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 99.4185,
                    "t": 628.017,
                    "r": 117.418,
                    "b": 610.017
                },
                "text": ", ,- , , , . / $ 0 1 !",
                "field_kind": "radio",
                "label": ", ,- , , , . / $ 0 1 !",
                "pdf_field_name": "Chk distribution option",
                "pdf_field_type": "RadioButton",
                "value": "Off",
                "reading_order": 12
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 226.08,
                    "t": 601.92,
                    "r": 385.92,
                    "b": 588.24
                },
                "text": "PLEASE TYPE OR PRINT LEGIBLY",
                "reading_order": 13
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 22.08,
                    "t": 583.44,
                    "r": 568.08,
                    "b": 555.564
                },
                "text": "1. Contact Name Contact Phone",
                "reading_order": 14
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 423.493,
                    "t": 579.926,
                    "r": 566.293,
                    "b": 557.926
                },
                "text": "> \" /7 :5 \"",
                "field_kind": "text",
                "label": "> \" /7 :5 \"",
                "pdf_field_name": "Contact Phone",
                "pdf_field_type": "Text",
                "reading_order": 15
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 22.08,
                    "t": 555.564,
                    "r": 568.08,
                    "b": 444.06
                },
                "text": "2. CHECK INFO Name",
                "reading_order": 16
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 527.688,
                    "r": 568.08,
                    "b": 499.812
                },
                "text": "Address 1",
                "reading_order": 17
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 109.964,
                    "t": 522.981,
                    "r": 515.238,
                    "b": 500.981
                },
                "text": "6!! ((G",
                "field_kind": "text",
                "label": "6!! ((G",
                "pdf_field_name": "Address 1",
                "pdf_field_type": "Text",
                "reading_order": 18
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 499.812,
                    "r": 568.08,
                    "b": 471.936
                },
                "text": "Address 2",
                "reading_order": 19
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 110.619,
                    "t": 498.108,
                    "r": 515.892,
                    "b": 476.108
                },
                "text": "6!! ((H",
                "field_kind": "text",
                "label": "6!! ((H",
                "pdf_field_name": "Address 2",
                "pdf_field_type": "Text",
                "reading_order": 20
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 471.936,
                    "r": 568.08,
                    "b": 444.06
                },
                "text": "City State Zip",
                "reading_order": 21
            },
            {
                "page": 1,
                "type": "LIST_ITEM",
                "location": {
                    "l": 22.08,
                    "t": 444.06,
                    "r": 568.08,
                    "b": 416.184
                },
                "text": "PURPOSE",
                "marker": "3.",
                "list_id": "L1",
                "level": 0,
                "reading_order": 22
            },
            {
                "page": 1,
                "type": "LIST_ITEM",
                "location": {
                    "l": 22.08,
                    "t": 416.184,
                    "r": 568.08,
                    "b": 248.928
                },
                "text": "FOAP & AMOUNT Index (6 digits) Fund (6 digits) Organization (6 digits) Account Code (6 digits) Program (4 digits) Amount",
                "marker": "4.",
                "list_id": "L1",
                "level": 0,
                "reading_order": 23
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 53.803,
                    "t": 439.56,
                    "r": 565.68,
                    "b": 355.44
                },
                "text": "undefined",
                "field_kind": "text",
                "label": "undefined",
                "pdf_field_name": "Purpose",
                "pdf_field_type": "Text",
                "reading_order": 24
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 50.4002,
                    "t": 310.252,
                    "r": 123.818,
                    "b": 288.252
                },
                "text": "8M!1N1 (9",
                "field_kind": "text",
                "label": "8M!1N1 (9",
                "pdf_field_name": "Index 1",
                "pdf_field_type": "Text",
                "reading_order": 25
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 299.129,
                    "t": 310.252,
                    "r": 375.165,
                    "b": 288.252
                },
                "text": "8M !1N1 (9",
                "field_kind": "text",
                "label": "8M !1N1 (9",
                "pdf_field_name": "Account Code",
                "pdf_field_type": "Text",
                "reading_order": 26
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 452.947,
                    "t": 310.252,
                    "r": 561.056,
                    "b": 288.252
                },
                "text": "8R !1N1 (9",
                "field_kind": "text",
                "label": "8R !1N1 (9",
                "pdf_field_name": "Amount",
                "pdf_field_type": "Text",
                "reading_order": 27
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 129.601,
                    "t": 309.598,
                    "r": 210.873,
                    "b": 287.598
                },
                "text": "\"! ?",
                "field_kind": "text",
                "label": "\"! ?",
                "pdf_field_name": "Fund 1",
                "pdf_field_type": "Text",
                "reading_order": 28
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 214.037,
                    "t": 308.943,
                    "r": 296.619,
                    "b": 286.943
                },
                "text": "8M !1N1 (9",
                "field_kind": "text",
                "label": "8M !1N1 (9",
                "pdf_field_name": "Org 1",
                "pdf_field_type": "Text",
                "reading_order": 29
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 380.293,
                    "t": 308.943,
                    "r": 447.82,
                    "b": 286.943
                },
                "text": "8M !1N1 (9",
                "field_kind": "text",
                "label": "8M !1N1 (9",
                "pdf_field_name": "Prgoram 1",
                "pdf_field_type": "Text",
                "reading_order": 30
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 452.947,
                    "t": 286.689,
                    "r": 560.402,
                    "b": 264.689
                },
                "text": ": N /",
                "field_kind": "text",
                "label": ": N /",
                "pdf_field_name": "Amount 2",
                "pdf_field_type": "Text",
                "reading_order": 31
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 213.983,
                    "t": 286.143,
                    "r": 296.565,
                    "b": 264.143
                },
                "text": "KC @ L @",
                "field_kind": "text",
                "label": "KC @ L @",
                "pdf_field_name": "Org 2",
                "pdf_field_type": "Text",
                "reading_order": 32
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 299.383,
                    "t": 286.143,
                    "r": 375.419,
                    "b": 264.143
                },
                "text": "P N/\"1Q/ 1 \"",
                "field_kind": "text",
                "label": "P N/\"1Q/ 1 \"",
                "pdf_field_name": "Account Code 2",
                "pdf_field_type": "Text",
                "reading_order": 33
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 50.0733,
                    "t": 286.107,
                    "r": 123.491,
                    "b": 264.107
                },
                "text": "TUVTWXTY",
                "field_kind": "text",
                "label": "TUVTWXTY",
                "pdf_field_name": "Index 2",
                "pdf_field_type": "Text",
                "reading_order": 34
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 128.291,
                    "t": 286.034,
                    "r": 210.218,
                    "b": 264.034
                },
                "text": ": 1\" E/ 1N\"/ /",
                "field_kind": "text",
                "label": ": 1\" E/ 1N\"/ /",
                "pdf_field_name": "Fund 2",
                "pdf_field_type": "Text",
                "reading_order": 35
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 380.293,
                    "t": 286.034,
                    "r": 448.474,
                    "b": 264.034
                },
                "text": "677 \" > !",
                "field_kind": "text",
                "label": "677 \" > !",
                "pdf_field_name": "Program 2",
                "pdf_field_type": "Text",
                "reading_order": 36
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 299.02,
                    "t": 261.634,
                    "r": 375.056,
                    "b": 239.634
                },
                "text": "O \"!",
                "field_kind": "text",
                "label": "O \"!",
                "pdf_field_name": "Account Code 3",
                "pdf_field_type": "Text",
                "reading_order": 37
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 49.6368,
                    "t": 261.216,
                    "r": 123.055,
                    "b": 239.216
                },
                "text": "@ZZ[V\\X@]^_\\_WXY`X[Y",
                "field_kind": "text",
                "label": "@ZZ[V\\X@]^_\\_WXY`X[Y",
                "pdf_field_name": "Index 3",
                "pdf_field_type": "Text",
                "reading_order": 38
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 214.692,
                    "t": 261.161,
                    "r": 296.619,
                    "b": 239.161
                },
                "text": ": 1\" E/ 1N\"/ /",
                "field_kind": "text",
                "label": ": 1\" E/ 1N\"/ /",
                "pdf_field_name": "Org 3",
                "pdf_field_type": "Text",
                "reading_order": 39
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 128.291,
                    "t": 260.507,
                    "r": 209.564,
                    "b": 238.507
                },
                "text": "KC @ L @",
                "field_kind": "text",
                "label": "KC @ L @",
                "pdf_field_name": "Fund 3",
                "pdf_field_type": "Text",
                "reading_order": 40
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 22.08,
                    "t": 248.928,
                    "r": 568.08,
                    "b": 221.052
                },
                "text": "TOTAL",
                "reading_order": 41
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 380.947,
                    "t": 259.852,
                    "r": 448.474,
                    "b": 237.852
                },
                "text": "8M !1N1 (9",
                "field_kind": "text",
                "label": "8M !1N1 (9",
                "pdf_field_name": "Program 3",
                "pdf_field_type": "Text",
                "reading_order": 42
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 49.6186,
                    "t": 238.089,
                    "r": 123.036,
                    "b": 216.089
                },
                "text": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "field_kind": "text",
                "label": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "pdf_field_name": "Index 4",
                "pdf_field_type": "Text",
                "reading_order": 43
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 128.946,
                    "t": 236.943,
                    "r": 209.564,
                    "b": 214.943
                },
                "text": "KC @ L @",
                "field_kind": "text",
                "label": "KC @ L @",
                "pdf_field_name": "Fund 4",
                "pdf_field_type": "Text",
                "reading_order": 44
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 451.638,
                    "t": 236.561,
                    "r": 561.056,
                    "b": 214.561
                },
                "text": ": 1\" E/ 1N\"/ /",
                "field_kind": "text",
                "label": ": 1\" E/ 1N\"/ /",
                "pdf_field_name": "Amount 4",
                "pdf_field_type": "Text",
                "reading_order": 45
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 381.602,
                    "t": 236.288,
                    "r": 449.129,
                    "b": 214.288
                },
                "text": "8M !1N1 (9",
                "field_kind": "text",
                "label": "8M !1N1 (9",
                "pdf_field_name": "Program 4",
                "pdf_field_type": "Text",
                "reading_order": 46
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 213.928,
                    "t": 236.252,
                    "r": 296.51,
                    "b": 214.252
                },
                "text": "KC @ L @",
                "field_kind": "text",
                "label": "KC @ L @",
                "pdf_field_name": "Org 4",
                "pdf_field_type": "Text",
                "reading_order": 47
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 300.656,
                    "t": 236.125,
                    "r": 376.692,
                    "b": 214.125
                },
                "text": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "field_kind": "text",
                "label": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "pdf_field_name": "Account Code 4",
                "pdf_field_type": "Text",
                "reading_order": 48
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 22.08,
                    "t": 221.052,
                    "r": 568.08,
                    "b": 53.796
                },
                "text": "5. APPROVALS Requester Print Name Signature Date",
                "reading_order": 49
            },
            {
                "page": 1,
                "type": "FORM_FIELD",
                "location": {
                    "l": 454.257,
                    "t": 210.761,
                    "r": 561.056,
                    "b": 191.379
                },
                "text": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "field_kind": "text",
                "label": "@ZZ[V\\X@]^_\\_WXY`X[Y 81' 1 ' \"!( N/\"1Q/ 1 \"(9",
                "pdf_field_name": "Total",
                "pdf_field_type": "Text",
                "reading_order": 50
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 193.176,
                    "r": 568.08,
                    "b": 165.3
                },
                "text": "Account Administrator Print Name Signature Date",
                "reading_order": 51
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 165.3,
                    "r": 568.08,
                    "b": 137.424
                },
                "text": "Account Administrator (if multiple funds or organizations) Print Name Signature Date",
                "reading_order": 52
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 137.424,
                    "r": 568.08,
                    "b": 109.548
                },
                "text": "Account Administrator (if multiple funds or organizations) Print Name Signature Date",
                "reading_order": 53
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 109.548,
                    "r": 568.08,
                    "b": 81.672
                },
                "text": "Vice President (required if TOTAL > $19,999.99); VP or ASVP of Student Affairs required for all student organizations.\\nPrint Name Signature Date",
                "reading_order": 54
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 100.08,
                    "t": 81.672,
                    "r": 568.08,
                    "b": 53.796
                },
                "text": "President (required if TOTAL > $39,999.99)\\nPrint Name Signature Date",
                "reading_order": 55
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 22.08,
                    "t": 53.796,
                    "r": 568.08,
                    "b": 25.92
                },
                "text": "SUBMIT ORIGINAL TO ACCOUNTS PAYABLE WITH REQUIRED SUPPORTING DOCUMENTATION. TO ENSURE PROMPT",
                "reading_order": 56
            },
            {
                "page": 1,
                "type": "TEXT",
                "location": {
                    "l": 48.48,
                    "t": 37.44,
                    "r": 562.56,
                    "b": 12.72
                },
                "text": "SUBMIT ORIGINAL TO ACCOUNTS PAYABLE WITH REQUIRED SUPPORTING DOCUMENTATION. TO ENSURE PROMPT PAYMENT, COMPLETE ENTIRE FORM AND OBTAIN NECESSARY SIGNATURES. ALLOW 3-5 DAYS FOR PROCESSING.",
                "reading_order": 57
            }
        ]
    }
]