LUL Check Request Form - Louisville Urban League

Payee(Required)

Please write the name of the person/company exactly as it is listed on the W-9

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Invoice Number

PO Number

Invoice(Required)

Upload a copy of your invoice(s) or receipts.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

W-9

Upload a copy of a W-9 if necessary.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.

Special Instructions

Requested by

Requestor's Email(Required)

Approved by

Approver's Email(Required)

Expense Detail

Expense Description 1

Project ID 1(Required)

Transaction Code 1(Required)

Price 1(Required)

Expense Description 2

Project ID 2

Transaction Code 2

Price 2

Expense Description 3

Project ID 3

Transaction Code 3

Price 3

Expense Description 4

Project ID 4

Transaction Code 4

Price 4

Expense Description 5

Project ID 5

Transaction Code 5

Price 5

Expense Description 6

Project ID 6

Transaction Code 6

Price 6

Expense Description 7

Project ID 7

Transaction Code 7

Price 7

Expense Description 8

Project ID 8

Transaction Code 8

Price 8

Expense Description 9

Project ID 9

Transaction Code 9

Price 9

Expense Description 10

Project ID 10

Transaction Code 10

Price 10

Expense Description 11

Project ID 11

Transaction Code 11

Price 11

Expense Description 12

Project ID 12

Transaction Code 12

Price 12

Expense Description 13

Project ID 13

Transaction Code 13

Price 13

Expense Description 14

Project ID 14

Transaction Code 14

Price 14

Expense Description 15

Project ID 15

Transaction Code 15

Price 15

Accounting Approver(Required)

Please enter [email protected] unless you have been specifically told to use a different address.

TOTAL

Expense Detail

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