PROCUREMENT CARD TRANSACTION LOG MONTH YEAR MONTH YEAR 4, To 3, For the Month of: Department: Cardholder Name: Account Number: Transaction Merchant Transaction Reconcile Is Vendor in Good Justification Date Name Amount Statement Standing with for Purchase Comptroller’s? Yes/No Date Status Checked Cardholder Signature Date PI Signature Date Division Director Date Account Reconciler Date
PROCUREMENT CARD TRANSACTION LOG MONTH YEAR MONTH YEAR For the Month of: 4, To 3, Department: Cardholder Name: Account Number: Transaction Date Merchant Name Transaction Amount Reconcile Statement Is Vendor in Good Standing with Comptroller’s? Yes/No Date Status Checked Justification for Purchase Cardholder Signature Date PI Signature Date Division Director Date Account Reconciler Date