Check Request - Rackcdn.comaa86e41e7d951355383b-cb342165bfeaa4f2927aec8e5d7de41f.r23.cf2.rackcdn.com/...
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DATE PREPARED:
DISPOSITION OF CHECK
The Episcopal Diocese of Texas
CHECK REQUEST (Please print legibly in all cells)
☐ U.S. MAIL - Must include mailing address in “Make Payable To” Section ☐ Electronic Funds Transfer ☐ Return to Requester or: _______________________________ ☐ Attachments:
ENTITY (check one): ☐ EDOT (Episcopal Diocese of Texas) ☐ EHF (Episcopal Health Foundation) ☐ EHC (Episcopal Health Charities) ☐ GCF (Great Commission Foundation) ☐ QUIN (Bishop Quin Foundation) ☐ EFT (Episcopal Foundation of Texas) ☐ PECC (Church Corporation) ☐ EDOT FSC (EDOT Financial Services Corporation) MAKE PAYABLE
Name
AMOUNT OF CHECK
$
Address
TO:
DATE PREPARED
Include Mailing
DATE DUE
Address
DESCRIPTION OF EXPENDITURE/ PURPOSE:
CHARGE TO: (Account numbers)
REQUESTED BY:
APPROVED BY:
ON BEHALF OF:
DATE
APPROVED BY:
DATE
