HomeMy WebLinkAboutInv# PC - 15082 - A FLAG & FLAGPOLE CO INC. - 12/12/2023 (4)Title: P-Card Host Authorization Form
Revised: 12-27-19
CITY OF DANIA BEACH
P-Card Host Authorization Form
FOOD EXPENDITURES FOR MONTH OF: _____________________
NAME OF CARDHOLDER: __________________________ SIGNATURE: ________________________
*Attach signed copy to monthly account statement retained by cardholder and monthly paperwork submitted to Finance.
PRINT NAME OF DEPARTMENT HEAD: ____________________________________
SIGNATURE: ____________________________________
Date Restaurant / Vendor Nature of the Event Total
Amount
# of
Guests
Food Provided
Refreshments Breakfast Lunch Dinner