allaudin merali expenses
Post on 04-Dec-2014
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1APPLICANT COPY) Capt tal Health Payment Requisition AccountingServices 11 00Harley Court 10045-111St. Edmonton, AlbertaT5K 2M5 IPAYEE INFORMATION(Check one only) DPatientDEmployee{EEnumber Invoice Date Invoice Number'J.D41..16 01\S Vendor Number {or S.LN.) Vendor Name1:) 1 N. C;eSC L..U..!3 .AddressP.o. Go'>' 100o City - . lOR-ONTO Province/State PostalCodefh:;L... \L-2. CountrY IIPAYMENT DETAILS Reason for paymentl. \'j. aJ_ k>.. IllEXPENSE CODES{INORACLE FINANCIAL SYSTEMFORMAT)(Departments must provide Complete Coding) Ba!UnitLocationFunctional Centre e.g.201e.g.9000e.g.71135050044 ;;}Olctooo '-1 1\\;:) 00000 io
" \11\Sooooo"' '' " \I I\S0000 0lo .' 'L .' ''" " "" .. ,, 1]..-{anadianI DU.S.I DOther IVAUTHORIZATION Account . e.g.69500001 (o::;).'-11 000' (o ':;\.\.Ill..> 00 0
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