"Credit Card Authorization Form" - Town of Clayton, New York

Credit Card Authorization Form is a legal document that was released by the Finance Department - Town of Clayton, New York - a government authority operating within New York. The form may be used strictly within Town of Clayton.

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CREDIT CARD
Town of Clayton
Department:
AUTHORIZATION
Department Head:
Date:
Company Name and Address:
Job Description:
VENDOR:
**Please identify purchased merchandise below or attach documentation (receipt).**
QUANITY
ITEM #
DESCRIPTION
UNIT PRICE
LINE TOTAL
SUBTOTAL
SALES TAX
TOTAL
I hereby verify that I authorized the purchase of the merchandise listed above.
__________________________________________________
_________________________
Department Head Signature
Date
CREDIT CARD
Town of Clayton
Department:
AUTHORIZATION
Department Head:
Date:
Company Name and Address:
Job Description:
VENDOR:
**Please identify purchased merchandise below or attach documentation (receipt).**
QUANITY
ITEM #
DESCRIPTION
UNIT PRICE
LINE TOTAL
SUBTOTAL
SALES TAX
TOTAL
I hereby verify that I authorized the purchase of the merchandise listed above.
__________________________________________________
_________________________
Department Head Signature
Date