Fillable CHECK REQUEST for PETTY CASH REPLENISHMENT (Presbyterian College)

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CHECK REQUEST for PETTY CASH REPLENISHMENT (Presbyterian College)

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CHECK REQUEST for PETTY CASH REPLENISHMENT
Use this form to replenish Petty Cash. Staple receipts to the back of this form and submit to the Accounts
Payable Office. Please keep a copy for your records.
Check Due Date _____/_____/_____ Date ___________________
Check Payable to Presbyterian College Amount $ _______________
Department/Office __________________________________________________________________
Purpose of payment: Replenish Petty Cash
Account Distribution Petty Cash Reconciliation
Fund
(Not Required)
Orgn
Account
Amount
1
Original Amount
of Fund
$
$
2
Total Amount of
Receipts Attached
$
$
3
Amount of Cash
on Hand
$
$
4
Total of Lines 2 & 3
$
$
$
Compare Line 4 to Line 1
If not equal, explain below:
$
$
$
Requested by ______________________________________________ Extension __________________
___________________________ ____________ ___________________________ ____________
Requisitioner Signature Date Department Head Signature Date
___________________________ ____________
Officer Approval Date
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CHECK REQUEST for PETTY CASH REPLENISHMENT (Presbyterian College)

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Completed 25 August 2020

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