ࡱ> &% ɀ`\pCNS Ba==hJ#8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1 Arial1Arial1Arial1Arial"$"#,##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_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , *      (@ @ (  (@  (@  (  (  (@  (  (  (@  ( @  (@  (  , @ " *8@ @  <@@ !8@@  (@@ "8@ @ !"<@ @ #8 ! )  "8@ @  "<@ @   (@   (   (@   (   (@@  ( @ & &  ( "8 !"<            ( @   (@   (   (@@   (@  (  (`  #8  (@@ !!< !8   (@@   (@  (  "< "8  "8 !<@@ "8@ !8@  (@ !"<@  (  @ !<@  (  (@  ( @  ( "8 !"<  (  !8@  "  " `hSheet1Q'Sheet2X(Sheet3`i8- ILLINOIS INSTITUTE OF TECHNOLOGYCHECK DISBURSEMENT VOUCHERINVOICE NUMBERACCOUNT NUMBER NET AMOUNT DESCRIPTION: SUB ACCOUNTDate:Payee:Address:City, State & Zip:Amount:Date Printed Nameemail%(must include printed name and email)0-11076 Approvals* 8* All approvals must be complete before payment is made.!to be used if loan is not repaid.Printed Academic Unit Name This is a loan to the above named payee. The loan is short term and is only an emergency measure to accommodate the above named payee. The department agrees that if the loan is not repaid the "back-up" account will be charged and will have sufficient budget to absorb the charge.Payee/Student I.D. #'Name of Account Owner _________________I am fully aware that this payment is not for services rendered, and that it is my full responsibility to repay the above amount in full within two months of payment , unless an extension request is approved by the Dean of the Graduate College. I authorize IIT to deduct the the most recent paycheck, and if that paycheck is insufficient I agree that any remaining balance shall be deducted from the next paycheck. full amount of this payment from the most recent payroll payment made to me, and I authorize IIT to deduct as much as possible from1Back-up FRS Account Number _____________________Signature - Academic Unit HeadSignature - Graduate Collegec Visa Type (International students and researchers) : F1____ J1____ H1____ Other________________PAYEE INFORMATIONYReason for loan request: ________________________________________________________________<Number and dates of previous loan requests: ________________Loan Recipient SignatureLoan Recipient Printed NameChecks are picked up in theBursar Office, Rm 207, MB%FOR BRIDGE LOAN ONLY TO TA's AND RA's,(Check appropriate lines) TA____ RA____ 1Printed International Center Name (if applicable)/Signature - International Center(if applicable)28 "U) ɀ 5b!&  dMbP?_*+%,&(\?(RQ?) ףp= ?MHP LaserJet 1100 (MS)4C odXXLetterDINU"47#"FXX??U} m} }  } m} m} m!} m} $ 5,@,@,@,@x@@, @  @  @  @ w@ Xh@h@ h@@@/@ X@@@ ===ww;;;/@ `````` aaaaaa 7)88888%%%%% -' $ , + - ( ! -  ) !  ) ! .  ) " !     & & & &  & 0* /~ *@ +NOPO; Q"R _$STUV W#OPO;X Y*:;X Z![[\[]^ 9 JI E :; F :; < >< < ><< ?> 5@ AB## C  2  # #BX"""B $$$$8P88$$$0((""B h@!/@"h@#/@$h@%/@&h@'/@(;),*,+,,,-,.,/,0,1,2,3,4; C 22 2 #!122 !#' "C, "D2 "2 " "#(#122# $C+ $DG $2 $#%# &1 & &2 &#'# (K (L4 (4 (M)2222 *C*DDD6 +1+222 ,1,222 -1-222.1222/3424 01% 022 02 01122223424 33& 344 34 3 4H4 .8"B888""""88>&@  7 ɀ  (  dMbP?_*+%"??U>@7 ɀ )  dMbP?_*+%"??U>@7 Oh+'0HP\h IITCNSMicrosoft Excel@ ;^@Y:@hs՜.+,0 PXd lt| 3 Sheet1Sheet2Sheet3  Worksheets  !"#$Root Entry FWorkbook_)SummaryInformation(DocumentSummaryInformation8