P-Card Receipt Submission Form

P-Card Purchase Form
Name on P-Card used to make purchase: *
Name on P-Card

First Name Last Name
P-Card holder's
e-mail address: *
Date purchased: *

- Month - Day Year
Item(s) purchased: *
Description of item(s):
Total cost: *
Item(s) purchased:
Person/Professor the item was purchased for:
Project number of state to be charged:
Person making purchase (if different from P-Card holder):
E-mail address of the person who purchased the item(s):
Upload receipt(s):

Upload a File

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Upload guest list (share funds only):

Upload a File

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Should be Empty: