Petty Cash Receipt Form
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1Petty Cash Receipt Form
Received From: UNIVERSITY OF WEST GEORGIA CASHIER
:
Date: _______________
For the Following
Vendor Name
Description of Items Purchased
Amount
10.00
Total:
10.00
: _______________________________
________________________________________
Account Name
Signature of Purchaser
Account Number: _________________________________
_____________________________________________
Departmental Approver
Approved: _______________________________________
_____________________________________________
Office of Controller/ Business & Finance
Printed Approver Name
_____________________________________________
*Attach Original Paid Receipts to back of Voucher
Cash Recipient
(to be signed at cashier’s window)
Revised 10/22/2010
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Parent category: Financial