Cash Advance Received Date Foreign Currency Amount Equivalent

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					                                      CASH ADVANCE ACQUITTAL STATEMENT

                       Credit Card Statement for the period ______________to ______________

Cash Advance Received

                                                                                            Foreign
                                                                                                            Equivalent
  Date                                                                                      Currency
                                                                                                          amount in AUD
                                                                                            Amount




           Total

Cash Expended

                                                                                            Foreign
                                                                               * Receipt                    Equivalent
  Date                Particulars               Cost Centre and Line Item                   Currency
                                                                                  Ref                     amount in AUD
                                                                                            Amount




                          Total

           Amount of refund/reimbursement required
           (Please attach a copy of Curtin receipt for any unspent amount refunded)

Cardholder's Signature:

Cardholder's Name (Print):

*Receipts must be attached and sequentially numbered. Where a receipt is not available, a declaration should be provided and attached.

				
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