Reimbursement Request



Please call/email the Amazon Business contact, Laura Palombo at 302-552-3725 laura.palombo@redclay.k12.de.us, with any questions.After completing the order on Amazon, submit this form with order summary IMMEDIATELY to ensure price and availability.Maximum Amazon order is $1,000.Today’s Date:___________________________________Order Total:____________________________________Department/School: ___________________________________Requisitioner/Secretary:____________________________________Order Number(s): ____________________________________ Amount $___________#_________________________________ $ ________ # _________________________________ $__________#_________________________________ $ ________ # _________________________________ $__________#_________________________________ $ ________ # _________________________________ $__________ Budget to be Charged: ________________________________________________________________________________DEPARTMENT FUNDING:Budget Reference: __________Fund: ___________Dept: _______________ Operating Unit: __________________Appropriation: ________________ Program: ___________Account: _______________Category Code: ________________ Loc: _______________PC Business Unit: _____________Project: ________________Activity: ________________INTERNAL ACCOUNT FUNDING:Internal Account Check Request must be sent in with approved invoiceAccount Number: ________________________Description of Materials Purchased:________________________________________________________________________________________________________________________________________________________________________________________Manager Approval: _____________________________________________________________ Date: ______________________________________ ................
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