Petty Cash Voucher printable pdf download

Petty Cash Voucher

Instructions:

1) You may only be reimbursed if your department does not have a petty cash fund.

2) The original receipt(s) must accompany the voucher.

3) Maximum amount reimbursable is $100.

4) The person receiving the funds must sign this form and present photo ID.

5) You may not receive reimbursement for the following:

a) Personal Services (All 1XXX account numbers)

b) Travel (All 2XXX account numbers, except Mileage on 2006)

c) Contractual Services accounts 3005 – 3013

d) Food Items filed with a Rep Allowance form

e) Capital Expenditures (All 5XXX account numbers)

f) Student Aid (All 6XXX account numbers)

g) Entertainment Items (Account 8115)

See Accounting and Administrative Manual

Paid to: ___________________________________________________________________ Date: __________________

Department: __________________________________ Box # __________________ Phone # _________________

Description

Fund

Org

Account

Amount

Total Funds

Signature of Payee: _______________________________________________________ Date: __________________

Approving Signature: ____________________________________________________ Date: __________________

Petty Cash Voucher