PCard PCard Receipts Cardholder Name(Required)Name of the person submitting the receipts. Vendor Name(Required) Vendor PhoneVendor Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Purchase Date(Required)Date of PCard Purchase MM slash DD slash YYYY Purchase Cost(Required)The dollar amount of purchase cost.Chartfield Activity(Required)06606 - Union Board06607 - Events and Scheduling06608 - Programs Administration06609 - Programs (UPC)06610 - Recreation06611 - Development06613 - Services Desk06614 - Administration06615 - Maintenance06616 - Accounting06617 - Marketing16696 - Scholarship Fund32739 - BNC Construction FundChartfield Account(Required) Second Chartfield?Do you want to split this purchase over two chartfields? No Yes Chartfield Activity #2(Required)06606 - Union Board06607 - Events and Scheduling06608 - Programs Administration06609 - Programs (UPC)06610 - Recreation06611 - Development06613 - Services Desk06614 - Administration06615 - Maintenance06616 - Accounting06617 - Marketing16696 - Scholarship FundChartfield Account #2(Required) Chartfield #1 Percentage(Required)Please enter a number from 0 to 100.Chartfield #2 Percentage(Required)Please enter a number from 0 to 100.Purchase DescriptionPlease provide a description of the purchase. Receipt(Required)Photo or scan of the receipt. Drop files here or Select files Accepted file types: jpg, png, pdf, jpeg, Max. file size: 32 MB. Additional NotesUse for names of meal attendees or misc notes.EmailThis field is for validation purposes and should be left unchanged. Δ