ABE P-Card Purchase Form
Name on P-Card used to make purchase:
*
Please Select
Bean, Eban
Boote, Kenneth J
Boz, Ziynet
Bliznyuk, Nikolay
Briceno, Juan
Burks, Thomas Francis
Cardenas-Lailhcar, Luis
Correll, Melanie J.
Cox, Carolyn Rose
Dukes, Michael D
Fraisse, Clyde William
Gorucu, Serap
Haldeman, Barbara
Head, Lindsey
Hoogenboom, Gerrit
Jones, Jimmy W
Jones, Pierce H
Judge, Jasmeet
Kiker, Gregory A
Langford, Alvin
Lee, Won Suk
Lewis, Molly
Martin-Ryals, Ana
McKinnon, Jenny
Medeiros, Henry
Migliaccio, Kati White
Moore, Zach
Muneepeerakul, Rachata
Munoz-Carpena, Rafael
Noble, Shannon
Noonan, Matthew
Pelletier, William
Porter, Cheryl H
Quinn, Dina
Rummel, Jim
Rush, Patrick John
Scholtz, Richard V
Sharma, Vivek
Shelia, Vahktang
Singh, Aditya
Watson, J. Adam
Welt, Bruce Ari
Wester, Alex
Yu, Ziwen
Zingaro, Michael J
Zhang, Ying
Other
Name on P-Card
*
First Name
Last Name
P-Card holder's e-mail address:
*
example@example.com
Is this a travel-related purchase?
*
No
Yes
Have you submitted a Travel Authorization Request?
No
Yes
What is the Travel Authorization number?
Were these receipts submitted with the Travel Authorization?
No
Yes
Type of travel?
*
Domestic
Foreign
Is this a conference or event registration?
No
Yes
Please upload a Blank Conference registration form/page or a Breakdown of the registration charges, if not submitted with the Travel Authorization. This is a UF requirement
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Is this a vehicle related purchase?
*
No
State, fuel (yes)
State, repair (yes)
Rental (yes)
Please select vehicle number for fuel:
*
Select A Vehicle
3246-FUEL-60073246F
3338-FUEL-60073338F
3654-FUEL-60073654F
3742-FUEL-60073742F
3786-FUEL-60073786F
4012-FUEL-60074012F
4057-FUEL-60074057F
4139-FUEL-60074139F
4140-FUEL-60074140F
4180-FUEL-60074180F
4236-FUEL-60074236F
4384-FUEL-60074384F
4644-FUEL-60074644F
4679-FUEL-60074679F
4725-FUEL-60074725F
5658-FUEL-60075658F
5721-FUEL-60075721F
79096-FUEL-600779096F
Please provide rental agreement # and company name if not Avis/Budget
*
Please select vehicle number for repair:
*
Select A Vehicle
3246-REPAIR-60073246R
3338-REPAIR-60073338R
3654-REPAIR-60073654R
3742-REPAIR-60073742R
3786-REPAIR-60073786R
4012-REPAIR-60074012R
4057-REPAIR-60074057R
4139-REPAIR-60074139R
4140-REPAIR-60074140R
4180-REPAIR-60074180R
4236-REPAIR-60074236R
4384-REPAIR-60074384R
4644-REPAIR-60074644R
4679-REPAIR-60074679R
4725-REPAIR-60074725R
5658-REPAIR-60075658R
5721-REPAIR-60075721R
79096-REPAIR-600779096R
Did you rent an economy or compact size car?
*
Yes
No
Provide reason a justification for renting a larger vehicle.
*
Date purchased:
*
-
Month
-
Day
Year
Date Picker Icon
Itemized list/Description of purchases:
*
Please describe the business purpose to the state or specifically to the sponsored award (For Research, or a description of the items is not sufficient.)
*
Total cost:
*
Item(s) purchased:
Person/Professor the item was purchased for:
Source of funding (FULL ChartField or project number):
*
Person making purchase (if different from P-Card holder):
E-mail address of the person who purchased the item(s):
example@example.com
Upload receipt(s):
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Upload guest list (share funds only):
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