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Credit Card Receipts
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Credit Card Type
*
Please Select...
AmEx
Visa
Cardholder / Department
*
Please select...
Audra Tehan
Brad Stovall
Dave Clark
Dennis Brewer
Josh Stewart
Katlin Swanson
Kylee Durham
Richard White
Scott Wilson
Steve Gallegos
Cardholder / Department
*
Please select...
Allaso Ranch
C3 Global
Communications
Creative Pastors
Dallas
Facilities
FC Creative
FC Kids
FC Learning Center
Finance
Fort Worth
Frisco
Graphics
Media
Security
Source
Spiritual Development
SPO
Students
Technology
Worship
Last 4 digits of Card #
Vendor Name
*
Purchaser's Email Address
*
Is this a purchase or return?
*
Purchase
Return
Purchase Date
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
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20
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25
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29
30
31
YYYY
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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2002
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
How many PO's were used for this purchase?
*
1
2
3
4
5
PO Number
*
Actual Purchase Price
*
PO Number
*
Actual Purchase Price
*
PO Number
*
Actual Purchase Price
*
PO Number
*
Actual Purchase Price
*
PO Number
*
Actual Purchase Price
*
Receipt Total
$0.00
Was Sales Tax Paid?
*
Please select...
Yes
No
Can this PO be closed?
*
Please select...
Yes
No
Any other notes we should know?
Receipt Photo / Scan
*
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Please Submit Only 1 Receipt Per Form.
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