East Hartford Rotary Club
Request for Payment

[Print form, then fill in payee information, amount requested and purpose of payment onlyHave form signed by appropriate club officer* before returning form to treasurer, who will complete other items.  Request should be accompanied by all available documentation, receipts, etc.]

QuickBooks “virtual bank account” ______________________________(see list)

Check #:    ____________________

Date:    ____________________

Pay to the order of (payee information):   

______________________________________________(Vendor/Payee)

Check Amount:  $______________   (amount requested)

Purpose of payment (use for "Memo"):

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Expense Account:____________________

 

 

Payment approved by:_________________ Date: _______________

 

Virtual Bank Accounts: for treasurer’s use only.

1051                                Sergeant at Arms

1052                                Scholarship Funds

1053                                Special Events. Holding

1054                                RI Foundation

1055                                VCM rental

1056                                Unallocated cash

1057                                Golf Tournament. Funds.

1058                                Cash – Citrus Sale

1059                                (unassigned)

1060                                (unassigned)

1061                                Spring Raffle

1062                                Charity

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