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NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.

REQUEST FOR PAYMENT

(Complete all but shaded areas)

Accounts Payable Department

1050 Massachusetts Avenue

Cambridge, MA 02138

VENDOR NUMBER

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CHECK NUMBER

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CHECK DATE

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VENDOR NAME

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ADDRESS

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ADDRESS

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CITY, STATE, ZIP

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CHARGE THE FOLLOWING ACCOUNTS:

Object

Project/Grant/Conf Number

Project, Grant or Conference Name

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Project

Yr

Sub

Addl

NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.REQUEST FOR PAYMENT(Complete all but shaded areas)Accounts Payable Department1050 Massachusetts AvenueCambridge, MA 02138VENDOR NUMBER
CHECK NUMBER
CHECK DATE
VENDOR NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP
CHARGE THE FOLLOWING ACCOUNTS:ObjectProject/Grant/Conf NumberProject, Grant or Conference Name
ProjectYrSubAddlCodeAmount
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xxxxx
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.xx
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.xx
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.xx
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xxxx
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TOTAL AMOUNT OF CHECKEXPLANATION
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NBER Procurement PolicyCheck all that apply:1.)Micro purchase (up to $9,999)
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(no additional documentation required)2.)Small purchase ($10,000 to $249,999)
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3.)Sealed bid ($250,000 or more)
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Procurement Bid
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on file
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attached4.)Competitive proposal ($250,000 or more)
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and Disclosure Forms5.)Sole source ($10,000 or more)
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Sole Source Justification and Disclosure Forms
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on file
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attachedPayments for Professional Services (object code 6600) and Subcontracts (object code 7700)1.)Consultant Contracts (6600)
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Contract on file
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Contract attached2.)Agreement for Research Services (6600)
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Agreement on file
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Agreement attached3.)Sub-Award Contract (7700)
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Sub-Award Agreement on file
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Sub-Award Agreement attachedPERSON REQUESTING CHECK
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In signing this I certify that these expenses are not being reimbursed by any other organization.DATE
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APPROVAL SIGNATURE
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DATE
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Revised 07/2018

Code

Amount

xxxxx

.

xx

.

xx

.

xx

NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.REQUEST FOR PAYMENT(Complete all but shaded areas)Accounts Payable Department1050 Massachusetts AvenueCambridge, MA 02138VENDOR NUMBER
CHECK NUMBER
CHECK DATE
VENDOR NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP
CHARGE THE FOLLOWING ACCOUNTS:ObjectProject/Grant/Conf NumberProject, Grant or Conference Name
ProjectYrSubAddlCodeAmount
xxxxx
.xx
.xx
.xx
xxxx
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
TOTAL AMOUNT OF CHECKEXPLANATION
NBER Procurement PolicyCheck all that apply:1.)Micro purchase (up to $9,999)
(no additional documentation required)2.)Small purchase ($10,000 to $249,999)
3.)Sealed bid ($250,000 or more)
Procurement Bid
on file
attached4.)Competitive proposal ($250,000 or more)
and Disclosure Forms5.)Sole source ($10,000 or more)
Sole Source Justification and Disclosure Forms
on file
attachedPayments for Professional Services (object code 6600) and Subcontracts (object code 7700)1.)Consultant Contracts (6600)
Contract on file
Contract attached2.)Agreement for Research Services (6600)
Agreement on file
Agreement attached3.)Sub-Award Contract (7700)
Sub-Award Agreement on file
Sub-Award Agreement attachedPERSON REQUESTING CHECK
In signing this I certify that these expenses are not being reimbursed by any other organization.DATE
APPROVAL SIGNATURE
DATE
Revised 07/2018

xxxx

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TOTAL AMOUNT OF CHECK

NATIONAL BUREAU OF ECONOMIC RESEARCH, INC.REQUEST FOR PAYMENT(Complete all but shaded areas)Accounts Payable Department1050 Massachusetts AvenueCambridge, MA 02138VENDOR NUMBER
CHECK NUMBER
CHECK DATE
VENDOR NAME
ADDRESS
ADDRESS
CITY, STATE, ZIP
CHARGE THE FOLLOWING ACCOUNTS:ObjectProject/Grant/Conf NumberProject, Grant or Conference Name
ProjectYrSubAddlCodeAmount
xxxxx
.xx
.xx
.xx
xxxx
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
TOTAL AMOUNT OF CHECKEXPLANATION
NBER Procurement PolicyCheck all that apply:1.)Micro purchase (up to $9,999)
(no additional documentation required)2.)Small purchase ($10,000 to $249,999)
3.)Sealed bid ($250,000 or more)
Procurement Bid
on file
attached4.)Competitive proposal ($250,000 or more)
and Disclosure Forms5.)Sole source ($10,000 or more)
Sole Source Justification and Disclosure Forms
on file
attachedPayments for Professional Services (object code 6600) and Subcontracts (object code 7700)1.)Consultant Contracts (6600)
Contract on file
Contract attached2.)Agreement for Research Services (6600)
Agreement on file
Agreement attached3.)Sub-Award Contract (7700)
Sub-Award Agreement on file
Sub-Award Agreement attachedPERSON REQUESTING CHECK
In signing this I certify that these expenses are not being reimbursed by any other organization.DATE
APPROVAL SIGNATURE
DATE
Revised 07/2018

EXPLANATION

NBER Procurement Policy

Check all that apply:

1.)

Micro purchase (up to $9,999)

(no additional documentation required)

2.)

Small purchase ($10,000 to $249,999)

3.)

Sealed bid ($250,000 or more)

Procurement Bid

on file

attached

4.)

Competitive proposal ($250,000 or more)

and Disclosure Forms

5.)

Sole source ($10,000 or more)

Sole Source Justification and Disclosure Forms

on file

attached

Payments for Professional Services (object code 6600) and Subcontracts (object code 7700)

1.)

Consultant Contracts (6600)

Contract on file

Contract attached

2.)

Agreement for Research Services (6600)

Agreement on file

Agreement attached

3.)

Sub-Award Contract (7700)

Sub-Award Agreement on file

Sub-Award Agreement attached

PERSON REQUESTING CHECK

In signing this I certify that these expenses are not being reimbursed by any other organization.

DATE

APPROVAL SIGNATURE

DATE

Revised 07/2018

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