Petty Cash Voucher Template
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1Petty Cash Voucher
(ID Required)
University of San Diego Office of Accounts Payable & Cashier’s Office
1. Petty Cash Information
Type of Request:
Petty Cash
Cash Advance
Travel Cash Advance
Date:
2. Payee Information
Payee Name:
Ext:
USD Email:
Prepared by
:
Ext:
USD Email:
(if not prepared by Payee)
0.00
Received by Signature:
Date:
Amount:
Please note: “Received by Signature” is to be signed at the cashier’s office. By signing this form, you are certifying that the cash has been received.
3. Business Purpose (Justification)
4a. Funding - POETS
#
Project
Organization
Expenditure Type
Task
Source
Amount
1
2
3
4
5
4b. Funding – GL String (If not Project related)
# Fund Group
Organization
Account
Source
Project
Future
Amount
1
0000
2
0000
5. Approvals -
I certify that the expense(s) itemized above have been reviewed and are accurate, allowable and an appropriate expenditure(s). It is within my
budgetary authority to approve the expense(s).
Payee
(Required)
Print Name:___________________________
Signature:_________________________
Date:_______________
Budget Administrator
(Required)
Print Name:___________________________
Signature:_________________________
Date:_______________
Supervisor
(Required)
Print Name:___________________________
Signature:_________________________
Date:_______________
Vice President Approval
(if Applicable)
Print Name:___________________________
Signature:_________________________
Date:_______________
For Cashier’s Office and Office of Accounts Payable Use Only
Cashier
Print Name:___________________________
Signature:_________________________
Date:_______________
Cashier’s and AP Notes:
Date Stamp - Received
Cash Advance
– Original Receipts Required within Five (5) Business Days
Travel Cash Advance
– VP Approval Required and Original Receipts Required within
Ten (10) Business Days
Form updated March 2013
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Parent category: Financial