OMSE Charge Form

Please fill out the charge form to the best of your ability. If you have unpaid external vendor invoices or personal reimbursements, please provide the invoice and/or receipt to your departmental processor see below:

Academic Affairs and Admissions: Vickie Cecil
Advisory College: Sara Tinkham
Student Affairs: Liz Steadman

Your E-Mail Address*
Order Date*
MM slash DD slash YYYY
Order Time*

: Hours

Minutes

AM/PM
Ordered by*
Purchase Method*
How did you pay for this charge? Please note only one charge form is required for personal fund reimbursement, however please submit a separate form for each vendor invoice for other purchase types
If Personal Reimbursement, Please type your PID below
Cost Code*
Which division's budget should be charged for this transaction?
If Other Cost Code, Please list
If the purchase was a service, please list and describe it below*
No Services were purchased.
If the purchase was for supplies, please list each item both by receipt/invoice line item name and a general description in parenthesis
Pilot G2 Premium Retractable (Ink Pens) 53 Watt GE® Energy-Efficient (Light Bulbs)
Receipt or Documentation*
Max. file size: 98 MB.
Merchant*
Merchandise Subtotal*
Shipping or Other Charges
Subtotal*
Tax (if applicable)
Grand Total*
The Following Are For Food Functions Only
Name of Function
Date Held
MM slash DD slash YYYY
Date Held ()

:

AM/PM
Location
Meeting Purpose
The purpose of the Meeting must indicate how the business entertainment benefited the University and clarify the relationship of the persons in attendance to the particular aspects of the University's programs or activities (titles, committee names, field of interest of person being entertained, reason for visitor being on campus, etc.)
Audience
What group was this function for? (Staff, Faculty, etc)
Names of Attendees
Only necessary if 8 or less attendees
Number attended

OMSE Charge Form

OMSE Charge Form

The Following Are For Food Functions Only