Cardholder Name means the cardholder’s first name, middle initial and last name.
Cardholder Name. (print) Location: Local District: _ Signature: Email: @xxxxx.xxx Emp # Date: APPROVING OFFICIAL AGREEMENT By signing below, I certify that I am the current Approving Official for the cardholder named above, that I have reviewed the Guidelines for Conference Attendance as described in the PROCUREMENT MANUAL, that I fully understand all Travel Account policies and procedures and that: • I will review the activity for all Toshiba expenditures, by the 21st of each month, and approve or otherwise follow up on all transactions. • I will ensure that copies of the Toshiba Business Solutions invoice are attached to the Citibank LAUSD Toshiba Card Statement. Physical files are required to be kept for seven (7) years. • I understand that failure by the above cardholder to reconcile copier expenditures by the 18th of the month may result in force reconciling of the Toshiba copier charges to the default funding line or other appropriate account. • I understand that failure by the cardholder to reconcile copier expenditures by the 18th of the month may result in suspension or cancellation of my location's Purchase Card (P-Card) privileges. • I understand that my failure to ‘review and approve’ reconciled copier expenditures by the 21st of the month may also result in suspension or cancellation of my location's Purchase Card (P-Card) privileges. I will ensure that the Toshiba Reconciler, for whom I am responsible, adheres to the following procedures and actions: • Follows reconciliation procedures as described in the Procurement Manual, subsequent updates communicated in the PSD Advisory and by P-Card Administrators. • Toshiba Ghost Card transactions will be reconciled by the 18th of the month. • I agree to comply with and enforce all other policies and procedures enumerated in the PROCUREMENT MANUAL.
Cardholder Name. (print) Location: Local District: Signature: Employee # Date: By signing below, I agree that:
Examples of Cardholder Name in a sentence
Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.
Xn Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.
Patient(s) Name(s): _ _ CHECK ONE: ____Checking Account Info: Name on Account: Bank Name: Account #: Routing #: ____Credit Card Info: Card Type: MasterCard Visa Discover Amex Cardholder Name: Billing Zip Code: Card #: Security Code: Expiration: / AUTHORIZATION I authorize Integrate Internal Medicine, P.C., to automatically bill the checking account or credit/debit card listed above, as specified.
Option 1: Automated Credit Card Charge Card Type: Visa Mastercard Amex Discover Cardholder Name: Credit Card Number: Expiration Date: / Cardholder Signature: Option 2: Bank Account Direct Withdrawal (E-Check) Bank Name: Transit Number: Account Number: Bank Address: Note: Please attach an unsigned check marked “VOID” I authorize Operator to automatically charge my credit card on a recurring basis to pay any sums due from me for parking charges payable under my Agreement for Monthly Parking Privileges.
Card #: Expiration: CVV Code: Zip Code: Cardholder Name: Volunteer/Chaperone: I wish to volunteer for this field trip.
More Definitions of Cardholder Name
Cardholder Name. (print) Location: Local District : Signature: Email: Employee # Date: APPROVING OFFICIAL AGREEMENT By signing below, I certify that I am the current Approving Official for the cardholder named above, that I have reviewed the Guidelines for Conference Attendance as described in the PROCUREMENT MANUAL, that I fully understand all Travel Account policies and procedures and that: • I will review the activity for all Travel Account expenditures, by the 21st of each month, and approve or otherwise follow up on all transactions. • I will attach copies of the approved 10.12 and all applicable receipts to the Monthly Travel Account Statement and maintain on file for seven years. I will ensure that the Travel Account Reconciler for whom I am responsible adheres to the following procedures and actions: • Follows reconciliation procedures as described in the P-Card Reference Guide, and reconciles by the 18th of the month. • Reconciles the charges for conference attendance and related travel expenditures to G/L520002 funding lines with receipts attached. • Ensures requests made to the travel agency to use the account number assigned to this location will be for official District business only and not for personal transactions. • Uses Specially Funded Program funding lines only for appropriate conference and related travel expenditures, as defined in the Federal Guidelines and provide a detailed description of expenditures when performing reconciliation of Specially Funded Program expenditures. • Submits copies of approved 10.12 forms and all applicable receipts so that I as the Approving Official may attach these to the Monthly Travel Account Statement. • I agree to comply with and enforce all other policies and procedures enumerated in the PROCUREMENT MANUAL.
Cardholder Name. (print) Location: Local District: Signature: Employee # Date: By signing below, I agree that: APPROVING OFFICIAL AGREEMENT • I have completed the P-Card Online Training program, and fully understand all P-Card policies and procedures. • I will review the accounts of all Cardholders for whom I am responsible bi-weekly, and approve or otherwise follow up on all transactions by the 21st of each month. • I will ensure that the following policies and procedures are adhered to by all Cardholders for whom I am responsible: • Cardholders will use the card only for authorized items, use only authorized merchants, use the card for official District business only and for no personal transactions. • Cardholders will keep the card secure at all times, and immediately notify Citibank, me (the Approving Official), and the P-Card Unit of loss, theft, or fraudulent use of the card. • Cardholders will be held personally liable to the District for any unauthorized use of the card, including -prohibited items/merchants -over-limit transactions -personal use -loan of the card to any other person for any reason • Cardholders will follow reconciliation procedures as described in the Procurement Manual, and reconcile by the 18th of the month. • Cardholders will use Specially Funded Program funding lines only for appropriate purchases, as defined in the Federal Guidelines (e.g., Title One funds may be used only for purchases related to literature and math), and provide a detailed description of items purchased when performing reconciliation of Specially Funded Program purchases. • Cardholders will maintain monthly card statements on file for a minimum of seven years, with original receipts attached. • Only the named Cardholder will use the card assigned to him or her. Cardholders must return the card, cut in half, to me (the Approving Official) or directly to the P-Card Unit, upon -transfer to another location -separation from District employment, -cancellation of card privileges for any reason • I agree to comply with and enforce all other policies and procedures enumerated in the Procurement Manual.
Cardholder Name. Company: Billing Address: Billing City / State / Zip: Email receipt to: NOTES: FOR OFFICE USE ONLY Call Taken by: Date: Callback #: Transaction Processed by: Date: Transaction ID: Receipt Sent Date: Notes: Call Taken by: Date: Callback #: Transaction Processed by: Date: Transaction ID: Receipt Sent Date: Notes: xxx.xxxxxxxxxxxxxxx.xxx DEFINITIONS ATTENDEE RULES & REGULATIONS AASP/NJ’s Annual NORTHEAST® AUTOMOTIVE SERVICES SHOW FRIDAY, MARCH 20: 5PM-10PM • SATURDAY, MARCH 21: 10AM-6PM • SUNDAY, MARCH 22: 10AM-3PM XXXXXXXXXXX XXXXXXXXXX XXXXXX - XXXXXXXX, XX 00000 Any attendee who is ejected, removed or prohibited The acronym “AASP/NJ” as used throughout this document shall mean Alliance of Automotive Service Providers of New Jersey, its officers, directors, employees or agents acting on behalf of AASP/NJ, including event management. The word “Event” and “Show” as used throughout this document shall pertain to AASP/NJ’s NORTHEAST 2020 Automotive Services Show. The word “Attendee” refers to any person attending NORTHEAST 2020 in any capacity, whether as an attendee, exhibitor, educational presenter or industry-affiliated representative.
Cardholder Name. Company: Billing Address: Billing City / State / Zip: Email receipt to: NOTES:
Cardholder Name. Credit Card Number: Expiration Date: I (we) give permission for the Buffalo Grove Park District to charge the amount from the account indicated, on the 1st or 15th of each month, beginning on: and ending on May 1 or May 15, 2021. Credit Card Tuition Payment Authorized Signature: Date: Direct Debit Tuition Payment Agreement - Please Attach A Voided Blank Check All declined payments are subject to a $25 decline fee. If a parent/guardian is delinquent on a child’s account, and does not submit payment within one week of the delinquency, the child will be temporarily removed from the program until the account is paid in full. If you wish to change the form of payment from automatic withdrawal to credit card debit, or to another account, you must fill out a new Payment Agreement Form within five business days prior to the posting date. Forms are available at the Park District and online at xxxxxxx.xxx. I (we) authorize Buffalo Grove Park District, to initiate debit entries to my (our) checking/savings account indicated below and the bank named below, hereinafter called “Institution”, to debit the same such account. I (we) further authorize Buffalo Grove Park District to initiate credits to my (our) account to correct any errors and “Institution” to initiate any such corrections to my (our) account. This authority is to remain in full force and effect until Buffalo Grove Park District and “Institution” has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Buffalo Grove Park District and “Institution” a reasonable opportunity to act on it prior to withdrawing or depositing to the account. Direct Debit Information: Check bank account you want your payment withdrawn from: Checking Savings Name(s) on Bank Account: Bank Account Number: Bank Transit ABA (Routing Number): I (we) give permission for the Buffalo Grove Park District to charge the amount from the account indicated, on the 1st or 15th of each month, beginning on: and ending on May 1 or May 15, 2021. Direct Debit Tuition Payment Authorized Signature: Date:
Cardholder Name. (print) Location: Local District : Signature: Email: Employee # Date: APPROVING OFFICIAL AGREEMENT By signing below, I certify that I am the current Approving Official for the cardholder named above, that I have reviewed the Guidelines for Conference Attendance as described in the PROCUREMENT MANUAL, that I fully understand all Travel Account policies and procedures and that: • I will review the activity for all Travel Account expenditures, by the 21st of each month, and approve or otherwise follow up on all transactions. • I will ensure copies of the approved 10.12 and all applicable receipts are scanned and uploaded to the transaction record in SAP I will ensure that the Travel Account Reconciler for whom I am responsible adheres to the following procedures and actions: • Follows reconciliation procedures as described in the Procurement Manual and reconciles by the 18th of the month. • Reconciles the charges for conference attendance and related travel expenditures to G/L520002 funding lines with receipts attached. • Ensures all travel booked using the account number assigned to this location will be for official District business only and not for personal transactions. • Uses Specially Funded Program funding lines only for appropriate conference and related travel expenditures, as defined in the Federal Guidelines and provide a detailed description of expenditures when performing reconciliation of Specially Funded Program expenditures. • I agree to comply with and enforce all other policies and procedures enumerated in the PROCUREMENT MANUAL.