Petty Cash Voucher
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1ROLLINS COLLEGE
PETTY CASH VOUCHER
(used for items other than travel and entertainment)
Pay to:
Request Date:
Account to Charge
RECEIPT
AMOUNT
DATE
DESCRIPTION OF USE
FUND
ORGANIZATION
ACCOUNT
PROGRAM
OF RECEIPT
Please note: Original Receipts Required
$0.00
Requested by:
Ext.
TOTAL REIMBURSEMENT
Departmental Authorization:
Not to Exceed $200
(departmental authorization must be someone other than payee)
Finance/Bursar Office Approval:
Date:
Funds Received in Full by:
Note: Program code is for
Finance Use Only.
(Do not sign until funds received)
Please initial the following statement: _________ I certify that I have not purchased the item(s) on
this petty cash voucher on my P-card nor have I received reimbursement by any other method.
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Parent category: Financial