I certify I attempted to obtain copies of original receipts from the above named vendors and have been unable to do so. I further certify I incurred the above expense(s) for which the receipt...

memorandum for dfas subject: statement in lieu of actual receipts i, _____ do hereby certify by this statement that receipts for the following travel expenses were either inadvertantly mislplaced, lost, or destroyed and hereby claim the following amount of $_____ which consists of …

Actual original receipts for reimbursements are required, however if you've exhausted all efforts at obtaining a receipt, you may use this Lost Receipt Memo. Complete all fields of this form, sign/date and obtain an approval signature/date.

LOST RECEIPT MEMO . Date: To: From: I lost or misplaced the receipt for the purchase of _____ _____ _____, from _____, on _____, in the amount of $ __ _____ . I assure that this purchase …

Aug 22, 2017 · Provide full explanation why receipt is not available and actions taken to obtain replacement receipt. For airfare indicate if Virtuallythere.com was used to obtain receipt.

Jul 22, 2020 · I HEREBY CERTIFY THAT I INCURRED THE FOLLOWING EXEPNSE(S) FOR WHICH THE RECEIPT IS UNAVAILABLE AND/OR LOST FOR PRESENTATION WITH THIS TRAVEL CLAIM. I AM SUBMITTING THIS STATEMENT IN LIEU OF...

California State Polytechnic University, Humboldt 1 Harpst Street Arcata, CA 95521 (707) 826-3011

If you’ve lost your receipt, here is a sample template you can use to write an acknowledgment letter for a lost receipt.

Lost Receipt Memo (Must be attached to SPF Check Request) Date of Purchase Vendor Name Vendor Address City, State, Zip ... Total E xplanation for above-referenced missing receipt: I certify that I incurred the above list ed amount in authorized expenses for HSU Sponsored Programs Foundation and the original receipts were lost. I am requesting ...

Please accept this memo in the absence of the original receipt as evidence of a purchase for school district purposes in accordance with the California Education Code.