PETTY CASH CUSTODIAN CONFIRMATION

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PETTY CASH CUSTODIAN CONFIRMATION Powered By Docstoc
					    Financial Services
                    PETTY CASH REQUEST/CHANGES TO CUSTODIAN

    Date:                                         Contact Phone/Email:

    Department:

    Project or Department No:                                        Fund Amount:

   REQUEST FOR NEW PETTY CASH:

    Amount Requested:
    Petty Cash Custodian
      Name (please print):                                            Phone:


   REQUEST FOR INCREASE OR DECREASE IN PETTY CASH

    Current Petty Cash Custodian:

    Current Petty Cash Fund Amount:

    Additional amount requested:                                               or amount returned:


   CHANGE OF CUSTODIAN AND/OR DEPARTMENT HEAD

    New Custodian Name:                                                        Phone:

          Previous Custodian:

    Change Department Head
        Name of New Department Head:

    I confirm as Petty Cash Custodian I have read and understand Policy AD 3-1 (Petty Cash) available at:
    www.sfu.ca/policies/admin/AD3-01.htm and that I am responsible for the custody of the amount issued shown above.




    Signature of Petty Cash Custodian

    Department Head:                                                           (please print) Date:
    As Department Head I will insure that all expenses paid out of my Department's petty cash conform to the policies of
    Simon Fraser University.




    Signature of Department Head

    Please send this form to:
    Financial Services