Kenya Martin has submitted an e-payout request sheet for 80 hours worked between September 29th and October 12th at a rate of $17 per hour, for a total of $1360. Kenya has selected to receive payment via ACH deposit into her savings account at MB Financial with the provided account and routing numbers. The request requires approval signatures from the approval, verification, and accounts payable departments.
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Example before-approval
1. Page 1
e-PAYOUT REQUEST SHEET
Name: Kenya Martin
Email: martin.kenya@marketstaffing.com
09/29 09/30 10/01 10/02 10/03 10/04 10/05
X
8
8
8
8
8
X
10/06 10/07 10/08 10/09 10/10 10/11 10/12
X
8
8
8
8
8
X
TOTAL HOURS
80
RATE
17.00
TOTAL DUE 1360.00
I have selected the option of ACH DEPOSIT in the amount of: $1360.00 to be deposited on my behalf into the following Account:
Account Type: Savings
Bank: MB Financial
Account #: 734826478468242
Routing #: 5689689834
Account Name: Kenya Martin
I have confirmed and reviewed all information above to be true, by submitting my signature below:
FOR OFFICE USE ONLY
X ___________________________________________________
(APPROVAL DEPARTMENT SIGNATURE)
X ___________________________________________________
(VERIFICATION DEPARTMENT SIGNATURE)
X ___________________________________________________
(ACCOUNTS PAYABLE DEPARTMENT SIGNATURE)
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11/21/2013 4:47:52 PM