Jamestown Community College

A/Payable Check Request Form

College Award Ceremony

Pay To:	Student J #:

Address:

Award Name:

Issue Date:	May

$ Amount:

Notes:

Check will be picked up by at the Campus Business Office.

Requested by: Date:

Approved by: Date:

(Signature of Director, Division Chair, and/or appropriate VP)

Banner Budget Code(s)	$ Amount	NOTE: Account 7104 is Awards & Honorariums

Fund-Org-Account

1000- -7104

1000- -7104

1000- -7104