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MasterCard Purchasing System

The IRS requires MasterCard purchases to be documented and supported in accordance with an accountable plan similar to all other travel reimbursements. Please document all charges below and attach itemized receipts (taped on 8 1/2 x 11 paper) in the order the charges are listed.

Statement Month Ending: _______________
Your Name: __________________________________
Vendor Date of Charge Purpose/Description Attendees (if applicable) Amount
1        
2        
3        
4        
5        
6        

Cardholder signature: ________________________________   Date: _________________

Manager signature: __________________________________   Date: _________________

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