CORNELL UNIVERSITY--STANDARD ACCOUNTS PAYABLE VOUCHER
Note: New Vendors require a Vendor Information Form (W-9). Please key or type this voucher.
A.)
Payee
Payee Legal Name:
Subsidiary, Div.,Etc.
C.) Mailing address for check
Attention. C/O,etc.:
P.O. Box, Apt #, etc.:
Street Name:
City, State & Zip:
Country:
Province:
B.) Payee Information
US Social Security or Federal ID#
Vendor Form (W-9) Attached New Vendor
CU Employee?
Yes
No
CU Student?
Yes
No
U.S. Citizen?
Yes
No
Green Card? (attach a copy)
Yes
No
Country of Citizenship
(if not US citizen)
D.)
Tax mailing address (Not department address)
Check if
tax
mailing address is the same as
section C
mailing address. If not, complete the section below.
Street Name:
City, State (Province):
Zip (Postal) Code:
Country:
E.) Special Handling Instructions
Enclosure (staple to front of voucher)
Return to Department in addressed campus envelope (staple to front of voucher)
Petty Cash
Check Pick Up,
(Name/phone # required)
Accounting use Only
Country Code
Recipient Code
Default Code
F.) Business Purpose/Explanation of payment request
(Processing one invoice per voucher results in more useful information in ADW)
1042 Coding
G.)
Check Stub Information
Net Invoice Amount
1099
1042
Income Code
EX Code
Pay Date
1.
$
2.
$
3.
$
Total amount Paid
$
Accounting Use Only
H.) Commitment/Encumbrance Liquidation
I
.) Account distribution
Cannot mix NYS Contract College (Statutory) & Endowed Accounts on same voucher
Commitment/Req#
Amount
Change Code
Dept
Sub
Ledger
Object
Code
Proj
Code
DUO
Code
Amount
Charges
BPS
Process Date
Total
(must equal total in section G)
MIR DATE
J.) Prepared By:
Date:
Phone Number
:
E-mail Address:
Dept. Name:
Transaction Authority Approval ____________________Date
_____
Departmental Approval of this voucher indicates goods/services have been received and accepted.