SD002 – UCT Receipt requisition

Instructions(use Tab orarrow keys to move between fields).
NB:.Send the completed form with supporting documents to the Faculty/ Area Finance Officer for signature. / Date:
Customer Details
Customer Reference No.
(Attach copy of purchase order) / Customer No. / 24847 / VAT Reg. No.
Title / Name / Contact person (if different)
E-mail Address / Telephone No. / Web Site Address
Street address / Postal address (if different)
City / Postal code
Receipt Details
Note: ForSAP purposes only, all unit prices entered below mustexcludeVAT (but, prices quoted to customers should include VAT)
Fund / Cost Centre/
Real Internal Order / Qty / GL / Description of invoice item text supplied / Name Of Payer (if cheque) Or enter “Cash” / Unit price / Total Amount / VAT table (Y/N) / Levy
(Y/N)
310077 / BAS1145 / 1 / 670 / [insert student/staff no. here]
Jammie Bike - Rental / 1 / R1000-00 / N / N
310077 / BAS1145 / 1 / 680 / [insert student/staff no. here]
Jammie Bike - Deposit / 1 / R800-00 / N / N
TOTAL (excl. VAT) / R1800
Print Invoice / Yes / No / Print Receipt / Yes / No / *If clearing invoice, Invoice No.
Fund holder (or nominee)
Agreement / I, the undersigned, confirm that this receipt and all its supporting documentation is valid.
Name / Yusuf Davids / Department / Properties & Services / Telephone no. / x3005
E-mail address / / Signature / / Print name
Faculty Finance officer
RC / RG / RM / Signature / / Print name / Yusuf Davids / Date

FOR OFFICIAL USE ONLY

Analysis Of Total / Receipt No. / Invoice No.
Payment method (tick to select one and enter the R amount) / Cheque/s / R / Cash/Postal Order/s / R / Bank Deposit Slip/s / R

12 June 2012 Page 1 of 1 SD002