Payment Request
Check request submitted
| Info Sheet | Activity Number | Type | Description | City/State | Start Date | Status |
|---|---|---|---|---|---|---|
 |
6576849 | Activity Type | Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Quisque placerat pede ut lectus. | City, State | 06/06/07 |
Occured
Cancelled |
|
6576849 | Activity Type | Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Quisque placerat pede ut lectus. | City, State | 06/06/07 |
Occured
Cancelled |
| Faculty Name | Check Type | Check Amount/Unreserve Funds | W-9/Contract on File | Invitation Accepted | Faculty Attended | Payment Authorization | Client Approval | |
|---|---|---|---|---|---|---|---|---|
 |
Last, First MD | Check Type | $ Unreserved |
W-9 On File Contract |
Yes
No |
Yes
No |
Appove
Deny |
|
|
Last, First MD | Check Type | $ Unreserved |
W-9 On File Contract |
Yes
No |
Yes
No |
Appove
Deny |