Procurement Card Personal Purchase Form (PPF) This form must be completed and submitted with any personal purchase made with a City P‐card. This form does not enable a cardholder to make a personal purchase with a P‐card.
Date of Purchase: _______________________________________________________ Cardholder Name: _______________________________________________________ Amount of Purchase: _____________________________________________________ Munis Account Number: __________________________________________________ Reason for Purchase: __________________________________________________________________
____ Payment Attached ____ Receipt Attached Cardholder Signature: ___________________________________________________
ACKNOWLEDGEMENT: Reconciler Initials: _____ Procurement Manager Initials: ______ Accounts Receivable Initials: ______ Second Offense: Director Initials: ______ Finance & Administration Director Initials: ______ City Manager Initials: ______ 8/2019