Petty Cash Reimbursement Voucher
Department Name:
________________________
Custodian Name: _________________________ Phone #/Ext.: ___________
Date: _______________
Cash Balance on Hand $____________
Total to be
Reimbursed (total from below) $
____________
Total Value of Petty
Cash Fund $____________
Please use the space
below to summarize by account/object code the petty cash transactions.
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Acct/Object Code |
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Total
Amount to be Reimbursed |
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Transfer the above
lines to the Accounts Payable Voucher Form.
Put all receipts/documentation in an envelope and staple to these forms.