Receipt Invoice
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STATE OF GEORGIA STATE CARDS PROGRAM Receipt/Invoice Affidavit Cardholder Name (please print): Work Unit (please print): Card Used (check one): Purchasing Card (P-Card) Fuel Card I certify that I made the purchase shown below for official business but do not have a receipt because (check all that apply): Supplier/merchant did not provide a detailed receipt I have requested an invoice, but the vendor has not provided it I had a receipt but cannot locate it I have a receipt but it is not readable and this document is provided in order to describe the items purchased Order was placed via telephone, fax, or Internet and vendor has not supplied an invoice All information must be typed, completed on-line, or printed in ink..
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