Form 41-988 - Petty Cash Disbursement Log - University Of Central Florida

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Petty Cash Disbursement Log
CLEAR ENTRIES
Fiscal Year
Petty Cash Vendor ID
Petty Cash Vendor Name
Fund Balance
75% of Fund Balance
INSTRUCTIONS: Please complete the top section of this form, print, and use this log to keep track of petty cash disbursements.
Disburse
Total 
Date 
Advance 
(A)/Non 
Project/ 
ment 
Amount 
Recipient Name 
Amount on 
Receipts 
Advance 
Initials of 
Department
Account
Date
Disbursed
Reason
(PRINT)
Recipient Signatures
Receipts
Received
(N)
Disburser
$ 0.00
$ 0.00
Total Disbursements
Total of Receipts
Approved By: _________________________________ Date: _______________
Form 41‐988 (Rev. 05/23/2014)

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