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The document is a petty cash request form for the Office of Student Accounts, requiring original receipts for amounts not exceeding $50. It must be completed with necessary signatures and cannot be submitted via mail; cash must be picked up in person. Additionally, all purchases must comply with specific expenditure guidelines.

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7 views

petty-cash-req-form-clickable-version

The document is a petty cash request form for the Office of Student Accounts, requiring original receipts for amounts not exceeding $50. It must be completed with necessary signatures and cannot be submitted via mail; cash must be picked up in person. Additionally, all purchases must comply with specific expenditure guidelines.

Uploaded by

arvinshamalaarvinshamala
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PETTY CASH REQUEST

Office of Student Accounts (OSA) | Room 246, Lyle Hall |717-871-5101


Please complete the form as follows:
Attach original receipt(s) showing the total amount requested-not to exceed $50
The entire form, including signature of department head / financial manager must be completed
Cash must be picked up in person at the OSA; requests cannot be fulfilled via mail
Requested By: Date:

Purchased Item(s) Vendor/Purchased From Item Total

Total Reimbursement: $

Validation for Cash Purchase:


All purchases must adhere to Procedure/Standard Number 2011-07 Expenditures of Public Funds Guidelines, Standards and Limitations

Please include: Department Name, GL/Commitment Item, and Cost Center or Internal Order

Internal Order
GL / Commitment Item Cost / Fund Center / WBS
Department Name (6 digits) (10 digits) (6 digits)

Authorized by: _________________________________ _

Print Signature

Cash received by: _


Print Signature

Date: Cash dispensed by:

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