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    CHECK REQUEST FORM

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    14 views1 page

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    of 1

    CHECK REQUEST FORM

    CRT NO. ___________

    TOTAL AMOUNT OF CHECK REQUEST: ___________________________

    DUE DATE : ____________________________


    DATE PURPOSES / ITEMIZED EXPENSES AMOUNT

    TOTAL

    DATE REQUESTED : _____________________________

    FOR ACCOUNTING DEPT. USE ONLY

    Requesting Employee: __________________________ _________________________ _________


    SIGNATURE OVER PRINTED NAME CHECKED BY DATE

    _________________________ _________
    Approved by: __________________________ APPROVED BY DATE
    SIGNATURE OVER PRINTED NAME

    _________________________ _________
    PAID BY DATE

    AUTHORIZATION FOR SALARY DEDUCTION


    This is to authorize the Accounting Department to deduct against my/our salaries/other compensations
    any amount/balance in advance/s that remain/s unliquidated on the due date stated above.

    Conforme:
    ________________________________
    Signature of Employee/s Over Printed Name

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