Payments Voucher

To: Finance Office Cash / BACS (No cash payments over £50)

Email remittance to: Bank Account :

Sort Code :
………………………………………..

Date: ............................. Please Pay to (BLOCK CAPS) : ..........................................................…...

Detailed Explanation for Claim Amount Account Cost Dept.

Please include: Date, Sport/Society £ Centre

Fuel Reclaim Section:

 Start Postcode: BS16 1QY

 Destination Postcode:
 Vehicle Reg:
(Staff Use Only)
 Total Miles Travelled: OWN | HIRE
NB: UWESU VEHICLES WILL BE REFUNDED UPON VAT FUEL RECEIPT

Net

VAT

TOTAL

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 Club Signatures x 2:
Received
.............................................
.......................................... ...
Authorised By

Paid By
BACS Payment No.: Date:

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