ࡱ> *) \pITS Ba==i(AU28X@"1Arial1Arial1Arial1Arial1Arial1Arial1hArial1@Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) m/d/yy                + ) , *     h  #  "8    "@  " @ "0   ("@@  !  h  ` "p  `   `   `@ 1"t    @ """@ @ #"@ @ 1!!"@ @ "@ @  " "   8 "8 1 4@  0@ "8  14 8  "8@@  "8@  "8 @  "8@  "8  "8  "8@  "8  "8 "  "  "@  "  !  !@  "p@ "p "p  "8"@@ "8 " @ 1!@@ 1 !@ 1 ! @  @@  @   @ 8@ 8 8   !x@@ !x@ !x @ !x@ !x !x   Q@@  Q@  Q @  8@  8  8P  8@  8  8P  "8@@  "8@  "8P @ " " " 1" " " # !x@ !x !x  1"  #x 1"@  x@ x x  x@ x x  "p@  "p  "p  !p@ !p  8@ "0   0 `WSheet1.Sheet2/Sheet3  ;4 `il44CASH/CHECK REQUEST'ANDREWS UNIVERSITY, Berrien Springs, MIPayeeAddressID#DateApproved for PaymentDepartment Head Accountant Check one: Mail Send to: Hold(If different from Addressee)( signature required)(give name and phone # to call) Check Amto By my signature appearing below, I hereby certify that I have personal knowledge of the Payee's citizenship oro residency status and that I have asked the Payee whether he or she is a citizen or pernament resident alien of the United States.7Please give a brief explanation of what payment is for:R If this payment is for independent services, rent, royalties, honorariums etc.,H it is tax reportable to the payee and you must fill in the following:YesIf Yes provide SS#Or ITINiIf Payee is NOT a US Citizen or permanent resident, please specify the immigration status. Type of visa:DANDREWS UNIVERSITY WILL NOT ISSUE A CHECK FOR PAYMENT OF SERVICES ORCROYALTIES TO AN INDIVIDUAL OR OTHER NON-INCORPORATED ENTITY UNTIL A Signature/Person certifying above residence / visa statusPurpose of visitNoB1B2F-1J-1OtherH-1B'Who is the visa sponsoring institution?1.2.F-1 / J-1 / H-1B Departure>Current Visit: Arrival DateB1 / B2 visitors:9SOCIAL SECURITY NUMBER AND RESIDENCY STATUS ARE PROVIDED.5 Payee is US citizen or permanent residentF How many times has the payee visited the US in the last 6 months? Purpose Account # to be charged8 Information you want on check stub (15 characters max):: & uUIcc2  5&q,  dMbP?_*+%(Gz?)RQ?M\\print\5300P - LaserJet 4050 P?dXXLetter.HP LaserJet 4050 Series PCL 5e2xe.DA>320Dq ^j Y"عuN8W_R]+ lmI *9+:O|۵Y:Iis2-#4$]䳭s B+{.4????????@ .nHHH**H**>>****><7// 00 11  %% &&((00..&&--    $   **                   22 33 44 $$ ''''((++ ,, )) 7gg@  s/  dMbP?_*+%"?? U>@7  z0  dMbP?_*+%"?? U>@7 Oh+'0HPlx Financial RecordsITSMicrosoft Excel@(@f@|N՜.+,0 PXt | ˾ý Sheet1Sheet2Sheet3Sheet1!Print_Area  Worksheets Named Ranges  "#$%&'(Root Entry F=Workbook0SummaryInformation(DocumentSummaryInformation8!