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GS1 09/2018
Sample Reimbursement Receipts SOMeCA SOAR/Student Media/Cultural Arts & Diversity
 INDEX 1. Printed Receipt 2. Hand-Written Receipt 3. Invoice 4. Invoice with Individual Named for Billing  RECEIPT REQUIREMENTS Receipts submitted for reimbursements must contain the following information in order to be processed: 1. Vendor name 2. Vendor contact information 3. Itemized 4. Indication of payment and/or balance of “$0.00”  If the receipt itself does not contain the name and contact information for a vendor, a business card must be attached.  Additionally, if there is an individual named on a receipt or invoice that individual must be the payee of the reimbursement.  The necessary information is indicated on the receipts sampled here in order to exemplify the various ways that receipt requirements can be met.

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GS1 09/2018 1

Printed Receipt
Vendor name
Vendor contact information
Itemized
Indication of payment (and/or balance of “$0.00”)
SOMeCA
SAMPLE

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GS1 09/2018 2
   Hand-Written Receipt
Itemized
Indication of payment (and/or balance of “$0.00”)
Business card because vendor information is not on receipt
Vendor name
Vendor contact information
SOMeCA

SAMPLE

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GS1 09/2018 3

Vendor Name Vendor Contact Information
Itemized
Indication of Payment (and/or Balance of “$0.00”)
831-555-1234
Invoice
SOMeCA
SAMPLE

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GS1 09/2018 4
 Invoice with Individual Named for Billing
Billy must be the payee of the reimbursement because they are listed under the billing address even though Sammy is under the shipping address.
SOMeCA
SAMPLE