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DE LA SALLE UNIVERSITY

FINANCE AND ACCOUNTING OFFICE


Annex I

Petty Cash Replenishment Form

For the period: to __________

Expenses
Other
Voucher Supplies & Postage & Mimeo & Repairs and Operating
No. Date Particulars Total Meeting Transportation Stationery Telegram Reproduction Maintenance Expenses

Total

Total Voucher Amount: P


Petty cash on hand
Total
Petty cash fund
Cash overage (short)

Signed by: ____________________ Date: Approved by: Date:


Petty Cash Custodian Approving Officer

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