CORPORATE CREDIT CARD STATEMENT & RECEIPT ENVELOPE

X 224 (R2011-08)

Cardholder Name (First Name)

Middle Initial

Last Name

Employee ID

Business Unit

Statement Date YY / MM

Card Number - Last 4 Digits

2 0
CARDHOLDER Complete all information at the top of this envelope. Obscure or remove the middle 8 digits from any document where the credit card number is displayed in full. For personal reimbursement: Pay City Cashiers for the item and enclose the City Cashier receipt with this statement. For document imaging purposes, tape small receipts on letter sized white paper (8 x 11), one side only. Multiple receipts may be taped on the same sheet of paper as long as they appear in the same order on the statement (do not overlap) No staples Do not tape receipts on the back of other documents Do not write on the back of receipts Any information that is required for audit purposes must appear on the front of the receipt, on the statement or be written beside the receipt on the piece of paper Do not use a highlighter on receipts, invoices or monthly statement Place the signed statement and all original detailed receipts in the envelope. Forward the envelope to your Dept ID Owner for their review and approval.
Refer to the Corporate Credit Card web page for complete information: Payment Card Industry (PCI) standards and policy information is here: Please see reverse for additional information

5 5 6 9

* * * * * * * *

DEPT ID OWNER (APPROVER) Review the statement and receipts to ensure that all purchases are appropriate and comply with City of Calgary policies and the Code of Conduct. Sign, date and write your employee ID on the statement. Using an inter-office mail envelope, forward the approved CCC Statement & Receipt Envelope to CAP (#8501) by the 15th of the month following the statement date. Do not return the envelope to the cardholder.

CORPORATE ACCOUNTS PAYABLE (CAP) USE ONLY ENVELOPE RECEIVED BY CAP

Envelope Returned
YYYY MM DD

(DATE STAMP)

CCC Rep Initials

Compliance Review
YYYY MM DD

CCC Rep Initials

http://mycity/OurOrg/Dept/CFO/FinanceSupply/BuySell/Pages/CorporateCreditCard.aspx http://mycity/PCI

This information is required to review and audit Corporate Credit Card purchases. The information is collected under the Alberta Freedom of Information and Protection of Privacy Act, Section 33(c) and is protected by this Act. If you have any questions regarding collection of this information please contact 403-268-2709.
ISC: Protected

USE OF THE CORPORATE CREDIT CARD

CASH OR CHEQUES TO BE DEPOSITED WITH CITY CASHIERS

The City of Calgary Corporate Credit Card (CCC) is the PREFERRED method of payment for:

The City of Calgary Corporate Credit Card is NOT be used for:

Goods under $5,000 including GST General services provided by an exclusive or non-exclusive Consulting & professional services with a contract total
contract vendor as identified by Supply, under $5,000 including GST

Personal purchases Gifts for retirements, resignations and promotions Traffic violations (eg. speeding tickets) Computer hardware, software or peripherals (use Airtime charges (use remedy ticket): http://itshd/Pages/PortalPage.aspx
requirements dictate otherwise) remedy ticket)

less than $5,000.00 (Letter of Contract must be attached. Payment to non-residents requiring a tax holdback is not allowed. For more information contact Corporate Tax and Regulatory Affairs.) Shopping: http://itshd/Pages/PortalPage.aspx

Items stocked by Central stores (unless work Chemicals and hazardous goods that do not Fuel for City vehicles Fuel for personal vehicles traveling on City Advertising, brochures, pamphlets, flyers and
(use Print & Distribution Services) & PeopleSoft requisition) business (claim on car allowance) other promotional items (use Creative Services) have pre-approved WHMIS numbers

Wireless device procurement through IT Store Front Go Employee expenses under $5,000 * Airfare booked through Uniglobe Beacon Travel - phone * Travel expenses including accommodation, taxis, vehicle * Courses and seminar registration fees * Conferences * Memberships and dues * Subscriptions and publications * Food and beverages for meetings, events and business Stationery, toner & office supplies - ordered through Grand DO NOT ENCLOSE CASH OR CHEQUES Business cards & numbered forms - use Data e-catalogue Books, videos and training materials Employee recognition items, outside of the Corporate
Recognition and Rewards Program & Toy rentals, fuel for vehicle rentals and out of town meals number 403-536-6860

New form creation or changes to existing forms

Standard office furniture (use McCrums e-catalog General services provided by vendors other than General, consulting or professional services
those already listed on the Supply exclusive or non-exclusive vendor lists

* Business hosting

lunches

provided by a foreign supplier for work done in Canada requires non-resident withholding taxes

CCC may be used to place orders via phone, fax or internet, as well as in-person purchases.
The Corporate Credit Card (CCC) is the property of BMO Financial Group. The cardholder agrees to take all reasonable measures to secure the CCC, including the card number, in order to safeguard it from loss, theft or unauthorized use. If the card is lost or stolen the cardholder should immediately contact BMO inside Canada or the US at 1-800-361-3361 or outside Canada or the US at 1-416-232-8020. Corporate Accounts Payable must also be contacted at 403-268-2984 or 403-268-2277 to confirm cancellation.
X 224 (R2011-08) B ISC: Protected

LOST OR STOLEN CARDS