ATC Expense Jot
For all expenses paid for by or for ATC
Date
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Name
*
Tom Post
Roland Vega
Dean Smith
Jesse Smith
Richard Dubas
Ashley Daus
Darla Stewart
Adrian Chavez
Paul Jensen
Frank Snyder
Will Harris
John Taylor
Alton Hudson
Rob Wold
John Notarangelo
Tyler Crisp
Christian Sanchez
Johnathan Irizarri
Alan Ellis
Other
Name (if other selected)
Amount Spent
*
Method Used
*
ATC AMEX
ATC CASH
Personal Card
Personal Cash
Other
Source of Payment
*
Please Select
ATC
My personal card
My personal cash
Other
Last 4 digits of card used ( 5 for Am Ex )
*
Vendor Paid
*
If receipt shows different vendor name than the actual sign on the store, note below in notes section
Category
*
Fuel
Tolls
Truck Parts
Job Materials
Other
Hotel
Other
Debt Responsibility
*
Please Select
ATC
Me
Other (explain in notes)
Who should be charged for this debt?
Category Details (if Other selected above)
*
Who, What, Where, & Why
*
Please provide Project and/or who authorized the purchase.
Warranty Section
Please use 386-623-4746 for any transaction requiring a phone #
Do any items from this transaction have warranty?
*
YES
NO
Warranty Item # 1
Item Description
Picture of warranty item # 1
Browse Files
Please make sure to capture any important info on item in picture
Cancel
of
Warranty Item # 2
Item Description
Picture of warranty item # 2
Browse Files
Please make sure to capture any important info on item in picture
Cancel
of
Picture of receipt
*
Browse Files
Make sure receipt is legible and captures all pertinent information
Cancel
of
Picture of receipt (2)
Browse Files
Cancel
of
Notes about purchase or warranty
Note which vehicle this is for if applicable.
Submit
Should be Empty: