IMPAC Purchase Log Page __ of
PURCHASE CARD LOG. Purchase Log . Page __ of ___ Printed First & Last Name of Cardholder: Organizational Symbol: For Month and Year (26th to 25th. of each month) Description of Supply Item or Service . Requester (first & last name) Order Date. Name /City/State of Supplier Supplier’s Rep (first & last) Qty. Unit of Issue . Unit Price. Total Price. Date Rcv’d. Amount Billed. Control # & Name ... ................
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