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Accounts Payable Forms
Accounts Payable
Tel No (818) 677-3472
Fax No: (818) 677-4581
Mail Drop: 8202
Direct Payment Encumbrance Form

JUNE 2009 EXPENSES ONLY
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This form is used to encumber anticipated June 2009 direct payment expenses. Submit this form to Accounts Payable, mail drop 8202, by close of business on 06/25/2009. If you have any questions regarding this form, please contact the Accounts Payable staff at extension 3472. NO FAXES PLEASE.

REQUIRED FIELDS:
ACCOUNT:
FUND:
DEPT ID:
PRGM:
CLASS:
PROJECT/GRANT:
REQ #:
 
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Vendor Name:
Expenditure Amount:
Description:

Date of Anticipated Expense:


Approving Officer Signature:___________________________________________
Print Name: ___________________________________________
Date: _________________  

Who to call if additional information is needed:

 
Print Name: __________________________ Ext: ___________

~ OFFICE USE ONLY ~
Prepared By: Extension: Department: