HomeMy WebLinkAboutInv# 1147178155 - BANK OF AMERICA - 04/28/2021 (4) 3 ty
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City of it aria Beach
P-Card Monthly Sign-Off Sheet
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SEA IT LIVE . LOVE IT
Invoice Batch#:
Last 4 digits of credit card number:zxxx-xxxx-xxxx- 150 Statement Month: AlpeNts1
Complete your monthly P-Card Reconciliation Packet in this Order
P-Card Monthly Sign-Off Sheet(this page)
Bank of America statement
Electronic scans of original receipts—(must be in order as they appear on the Bank of America statement)
Host Account Summary form for food expenditures(if applicable)
Signatures: Cardholder,Reconciler,and Department Head signatures are required. The cardholder signs as
the cardholder.If Dept.Head is also the cardholder you must sign in both places.The reconciler will sign as
the approving party of transactions listed on the BOA statement.The cardholder and reconciler cannot be
ithe same person.If Dept.Head is also the reconciler you must sign in both places as the approving-party of
transactions listed on the BOA statement.
By signing below, I certify that I have reviewed and approve all charges as in compliance with the rules
and regulations set forth in the"P-Card Policy"and"P-Card Acknowledge Form".
Cardholder(print) Signat re Date
DNA)Ni.5 OA le r — 6 /24
Reconciler(print) Signature Date
ke An"; =� S. (0/2�.
Departil, •nnt Sign . q Date
u.. MAY 1 0 2021
FtV tliki A
Purchasing Reviewer Signature(print name) Signature --13ate
After review,sign ancl.forward.t:our packet via entail to tstevens ylaniabeacizfi.gov