HTML Preview Check Request Voucher page number 1.
CHECK THE MATHEMATICAL ASSOCIATION OF AMERICA
REQUEST 1529 EIGHTEENTH STREET, NW
VOUCHER WASHINGTON, DC 20036
Phone: (202) 387-5200 Fax: (202) 265-2384
Accounting Office Use Only
Date ______________________________
Name ________________________________________________
Address ______________________________________________
______________________________________________
______________________________________________
Invoice No. _________________________________ Inv. Date ________________ Reference _______________
Amount __________________________________________ 1099 Amount ________________________________
Description ____________________________________________________________________________________
______________________________________________________________________________________________
Acct. No. – Bdgt. Ctr. Amount Acct. No. – Bdgt. Ctr. Amount
1. ___________________ $ __________ 9. __________________ $ ___________
2. ___________________ __________ 10. ___________________ ___________
3. ___________________ __________ 11. ___________________ ___________
4. ___________________ __________ 12. ___________________ ___________
5. ___________________ __________ 13. ___________________ ___________
6. ___________________ __________ 14. ___________________ ___________
7. ___________________ __________ 15. ___________________ ___________
8. ___________________ __________ 16. ___________________ ___________
Approval Signature _____________________________________________________________
Return Check to Department Yes No To ____________________________
MAA DC Sales Tax Exemption No. 8399 86428 02
F:/Wpshare/MAA Forms/Check Request Form.doc (3/01)
Vendor _______________________
Approved by ___________________
Verified by _____________________
Entered by _____________________