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Okaloosa County BOCC — May 4, 2013 — reading text
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Machine-extracted text — 01-Agenda Packet.pdf
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M
B
E
R
FOR
THE
MON
TH OF
Name of Employee/Department
_________________________________________________________________________
Purchasing Card Number
________________________________________________________________________________
For the month of
________________________________________________________________________________________
DESCRIPTION OF ITEMS PURPOSE OF DATE GOODS/
DATE VENDOR PURCHASED AMOUNT DEPT. ACCOUNT TRANSACTION SERVICES RECE
NUMBER NUMBER
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I HEREBY CERTIFY THAT ALL PURCHASES CONTAINED HEREIN WERE FOR OFFICIAL OKALOOSA COUNTY BUSINESS, WERE MADE IN
ACCORDANCE WITH RULES AND DIRECTIVES, AND THAT I HAVE REVIEWED THIS LOG AND IT CORRECTLY REFLECTS THE CARD
RECEIPTS ENCLOSED.
RECEIPTS ENCLOSED.
_____________________________________________________ _______________________________________________________________
SIGNATURE OF CARDHOLDER DATE
SIGNATURE OF REVIEWER DATE
DELIVER TO: OKALOOSA COUNTY COURTHOUSE - FINANCE OFFICE, ROOM 115 - 101 EAST JAMES LEE BLVD - CRESTVIEW302 N. Wilson
Street, Suite 203 Crestview FL 32536
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LOST OR STOLEN
CREDITPURCHASING CARD
REPORTING FORM
TO: PURCHASING DEPARTMENT
FAX: 850-689-5037
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FROM:
PHONE:
URGENT MESSAGE
PLEASE DELIVER THIS FACSIMILE
IMMEDIATELY
---------------------------------------------------
EMPLOYEE NAME:
CREDITPURCHASING CARD NO.:
DATE CARD WAS
LOST/STOLEN:
(If unknown, report
today’s date)
TIME CARD WAS
LOST/STOLEN:
(If unknown, report
time this form was
completed))
LAST KNOWN
LOCATION OF
CARD:
LAST KNOWN
Revised – 11/09/98,
TIME CARD WAS03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011
USED: (Indicate location
and date of last charge)
REMARKS:
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CREDITPURCHASING CARD MAINTENANCE FORM
DATE:
DEPARTMENT:
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PHONE $ AMOUNT
EMPLOYEE’S NAME NUMBER CARD NUMBER REQUESTED
MAINTENANCE REQUESTED (Circle as needed)
ADD CARDHOLDER (Fill out above)
DELETE/CANCEL ACCOUNT
(Account #)
RAISE/LOWER LIMIT
(Existing amount)
OTHER (explain)
Authorized By
(Department HeadDirector)
Fax Back To: 689-5037 (Purchasing Department)
Revised – 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 27
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Authorized By: Approved by: ________________________________
Cardholder Signature: ________________________
OKALOOSA COUNTY
BOARD OF COUNTY COMMISSIONERS VISA CHARGE
PURCHASING CARD DISPUTE FORM
Attachment: Compare version 5 with original.pdf (1553 : Revisions to the Purchasing Manual)
Cardholder Statement of Disputed Item
Company Name: Cardholder Name:
Cardholder Account Number:
Statement Date Transaction Date Merchant Name/Description
Amount Posting Date Reference Number
Check the description most appropriate to your dispute. If you have any questions, contact .
1. Alteration of Amount:
The amount of the sales draft has been altered from $ to $ _..
(Please include copy of sales draft)
2. Unauthorized Mail or Phone Order:
I certify the charge listed above was not authorized by me or any person authorized by
me to use this account. I have not ordered merchandise by phone or mail or received
goods and services as represented above.
3. Cardholder Dispute:
I did participate in the above transaction; however, I dispute the entire charge, or a
portion, in the amount of $ $_______
4. Credit Not Received:
The merchant has issued me a credit slip for the transaction listed above; however, the
credit has not been posted to my account. The date on the voucher is between 30 and
90 days old. (Please include a copy of the credit voucher.)
4. Credit Not Received:
The merchant has issued me a credit slip for the transaction listed above; however, the credit has not been
posted to my account. The date on the voucher is between 30 and 90 days old. (Please include a copy of
the credit voucher.)
5. Imprinting of Multiple Slips:
The above transaction represents multiple billing to my account. I only authorized one
charge from this merchant for $ . I am still in possession of my card.
6. Merchandise Not Received:
My account has been charged for the above transaction, but I have not received this
merchandise. I
7. Merchandise Not Received:
My account has been charged for the above transaction, but I have since contacted
this merchant and canceled the order. I will refuse delivery should the merchandise still
8. Merchandise Returned:
My account has been charged for the transaction listed above, but the merchandise
has been returned. Provide a description of the circumstances. (Please include postal
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9. Inadequate Description/Unrecognized Charge:
I do not recognize this charge. Please supply a copy of the sales draft for my review.
10. I am no longer disputing this charge.
Revised – 11/09/98, 03/21/00, 09/18/01, 03/19/02, 09/07/04, 05/15/07, 09/04/07, 09/03/08, 09/12/2011 29
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VISA CHARGE CARD PURCHASING SYSTEM COMMONLY ASKED
QUESTIONS
1. May I use the card for personal purchases and then reimburse the County?
NO. If you do, you will be subject to disciplinary action up to and including termination.
2. What is my limit?
The single per transaction dollar limit shall not exceed $999.99/$2,500.00 for select
Attachment: Compare version 5 with original.pdf (1553 : Revisions to the Purchasing Manual)
Employees. The monthly limit varies by cardholder (see the attached limit sheet).
3. Cash advances are strictly PROHIBITED.
4. What if I use the card and it is denied?
Three things can cause this.
a. You are above your limit.
b. Your charges from the previous billing period have not been paid.
c. The Vendor's Merchant Category Code is blocked from your card.
5. How will I receive my bill?
The Department Coordinator will print the monthly statement using “WORKS” (credit card
online program) and distribute to cardholders as necessary.
6. When are all invoices due in the Finance Department for payment?
The 15th of every month.
7. What if I’m on vacation or out sick?
Leave your Expenditure Report and your receipts with your Department Coordinator for
processing during your absence.
8. Why do I have to keep a Monthly Expenditure Report?
This report will document the items you have purchased in the event of any inquiry. It will
be helpful in the event of a lost receipt or disputed charge.
9. Can I use this card to make purchases over the phone?
YES, provided the vendor has the item in stock and ready for delivery. You cannot use
the card to order items that will be backordered.
10. Can someone else use my card?
ABSOLUTELY NOT. Use by anyone other than the cardholder is PROHIBITED.
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