CALIFORNIA INSTITUTE OF TECHNOLOGY PETTY CASH REPLENISHMENT FORM

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					                                                      CALIFORNIA         INSTITUTE   OF    TECHNOLOGY

                                                                 PETTY CASH REPLENISHMENT FORM
                                             ALL ITEMS APPROVED AS COMPLIANT
                                             WITH PETTY CASH POLICY AND                                                             REQUEST REPLENISHMENT OF
DATE SUBMITTED:                                                                                          PETTY CASH CLOSE-OUT
                                             APPLICABLE FUNDING SOURCE                                                                       FUND:
                                             RESTRICTIONS
                                             By:                                                         YES___ NO___              YES ____ NO _____
                                                                                                  PAYEE: (PETTY CASH CUSTODIAN:)
TRANSACTIONS
                     TO WHOM PAID (NAME ON
 DATE   Voucher #                                  DESCRIPTION OF ITEM          PROJECT           TASK          AWARD                    EXPENDITURE TYPE      AMOUNT
                           RECEIPT)




                    PTA DISTRIBUTION SUMMARY                                                                                       TOTAL DISBURSED
   PROJECT                   TASK                        AWARD                 EXPENDITURE TYPE           AMOUNT DISBURSED         CASH ON HAND
                                                                                                                                   AMOUNT OF FUND
                                                                                                                                   Audited Payment Services:

				
DOCUMENT INFO
Description: Pta Cash Form document sample