,SAP ~u~ta~atcdStarzdardApplica~©tt,{or Pay~rnenbsm <br /> VOICE RESPONSE SYSTEM <br /> ASAP Voice Response System Worksheet <br /> Pa ent - <br /> ym Request SingIe Item _ <br /> Agency Location Code (8 digits) (4 ~ 1 0 00 g # <br /> If the Federal Agency uses a Region Code, write it here. (2 digits) <br /> <br /> ~ If you make requests for more than one Recipient Organization, write the one for this <br /> payment request here. (7digits) I ~ ~ ~ 7 # ? <br /> ? / <br /> Account Number (6 digits) 0 13 ~ ~5 ' # <br /> Amount (dollars and cents Ig ~ D~11,~-{~ # <br /> When the Payment Request has been entered in VRS, it is veryrmpottaut to write down the <br /> Request Date and Sequence Number provided at the end of the transaction. <br /> Request Date ~ I2~~ (a~ <br /> Sequence Number 0 DDD 5 2. <br /> Save this Worksheet. This data will be needed if you want to check the status of the <br /> payment request or cancel the payment. <br /> NOVEMBER 24, 2000 THE ASAP GUIDE FOR VOICE RESPONSE. USERS PAGE. 27 <br /> <br />