Jamestown Community College

Jamestown, Olean, & Dunkirk, NY

A/Payable Check Request Form

Pay To:

Vendor #/Student J#:

Address:

Date(s) Incurred:

Expenses for:

(If a Conference or Meeting, Give Full Title and Location, and Attendee’s Name)

$ Amount:

Requested by:	Date:

Approved by:	Date:

(Signature of person with Org/Dept Budget Responsibility1)

Banner Budget Code(s)	$ Amount

Fund-Org-Account

Instructions for check delivery:

US Postal Service to payee

Include attached documents with check

Email copy of check2 to

other instructions

1 Coordinator, Asst. Director, Director, Exec. Director, Dean, or Vice President

2 AP will scan conference registration checks to employees. Please check Banner FAIVNDH for any other payments.