Series 704.6.2P - Petty Cash Request

 

Date                                                                                               

Requested by                                                                                  

Description                                                                                     

General ledger account code                                                             

Cash disbursed by                                                                           

Cash received by                                                                             

Date                                                                                               

Attach receipts below, on reverse side or on another 8½ x 11 piece of paper

 

Procedure/704.6.2P/5-1-12