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Legislative Assembly for the ACT: 1996 Week 11 Hansard (26 September) . . Page.. 3593 ..
The Assistant Under Treasurer ATTACHMENT A
Financial
Services
ACT Treasury
to........................................................................... (Proposed Card Holder)
whose signature follows herewith:..........................................................................
The State Bank "Credit Card Cardholder Request" duly completed is attached
herewith
for your attention.
The Credit Card facilities are required for the purchase of the following types of supplies..................................................................................................................
...............................................................................................................................
2. Calculated on the basis of two months transactions the monthly card limit
recommended
for the above Cardholder is $.....................
3. Details relevant to the proposed Cardholder are as follows:
Surname:....................................................................................................Mr/Mrs/Ms/Miss
Given Names:........................................................................................................................
AGS No..................................... Position No..........................................
Classification (ASO/CSO etc Level)......................................................................................
Title of Position:....................................................................................................................
Telephone No.................... Location (Building/Floor)................................................
Section................................................. Branch...............................................................
Department............................................................................................................................
4. Details of the proposed Cardholder's Supervisor for purposes of verifying
the Cardholder's
monthly reconciliation of Credit Card transactions are as
follows:
Surname:.....................................................................................................Mr/Mrs/Ms/Miss
Given Names (in full):............................................................................................................
Position No............................................Classification (ASO/CSO etc Level)...........................
Title of Position:......................................................................Telephone No..........................
Section................................................................Branch.........................................................
Location of Supervisor (Building/Floor)..................................................................................
Above proposed Cardholder Nomination Approved
Nominated by (To be signed by Branch/Agency Head,
or Director)
............................................... .................................................
(Signature) Title..........................................
Name:..................................... Name:.......................................
Section.................................... Branch/Section..........................
Branch.................................... Date...........................................
Date........................................
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