Fillable FS-010PettyCashAdvanceForm - FS-010 Petty Cash Advance Form

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FS-010PettyCashAdvanceForm - FS-010 Petty Cash Advance Form

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Idaho State University
Petty Cash Advance / Reimbursement Form
FS-010
Rev Nov 2009
Petty Cash Advance
Department Name: Date
Invoice #:
Employee Receiving Cash:
(1) Amount Advanced:
Description of Intended Purchase:
Signature of Employee Receiving Advance Fund Custodian Signature
Petty Cash Reimbursement
Index # Account Code Description of Purchase Amount
(2)
Total Purchases
(3)
Amount Advanced [From line (1) above]
Settlement Amount [Line (2) minus line (3)]
Positive Difference Reimbursed to Employee.
Negative Difference Returned to Fund.
Employee Signature Date
Fund Custodian Signature Date
$0.00
$0.00
$0.00
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FS-010PettyCashAdvanceForm - FS-010 Petty Cash Advance Form

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Completed 19 November 2019

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