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ST. NORBERT COLLEGE MASTERCARD PAYMENT APPROVAL FORM Please print Cardholder Name Department/Area Use this form to document monthly credit card charges and associated Banner account coding. Documentation should comply with Credit Card Policy requirements including the following Original receipts must be included. In the case of internet purchases a printout of the order form from the web site is an acceptable substitution for an original receipt. If receipts cannot be provided a written explanation must be supplied. Any disputed items must be noted. The cardholder is responsible for dispute resolution. A written description of the business purpose of each charge must be provided. In the case of entertainment/hospitality expenses the names and titles of those being entertained must be included. MasterCard Payment Approval forms including valid and complete accounting information must be returned to the Business Office within 3 weeks of the date bills are sent to cardholders. Documentation should comply with Credit Card Policy requirements including the following Original receipts must be included* In the case of internet purchases a printout of the order form from the web site is an acceptable substitution for an original receipt. If receipts cannot be provided a written explanation must be supplied* Any disputed items must be noted* The cardholder is responsible for dispute resolution* A written description of the business purpose of each charge must be provided* In the case of entertainment/hospitality expenses the names and titles of those being entertained must be included* MasterCard Payment Approval forms including valid and complete accounting information must be returned to the Business Office within 3 weeks of the date bills are sent to cardholders. Description / Comment Fund Code Org Code Account Code Amount Total Cardholder Signature Date Approval Signature enterable v1. If receipts cannot be provided a written explanation must be supplied* Any disputed items must be noted* The cardholder is responsible for dispute resolution* A written description of the business purpose of each charge must be provided* In the case of entertainment/hospitality expenses the names and titles of those being entertained must be included* MasterCard Payment Approval forms including valid and complete accounting information must be returned to the Business Office within 3 weeks of the date bills are sent to cardholders. Description / Comment Fund Code Org Code Account Code Amount Total Cardholder Signature Date Approval Signature enterable v1.

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