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.,y~. <br /> M <br /> o~ <br /> ~ <br /> - Pe Ca h Re ues# <br /> Lh.I <br /> Person requestmg cash ~Prmt~ . <br /> ~ : Supervisor's approval <br /> { <br /> Request for Reimbursement <br /> f <br /> {To requesf advance, use nexf bax.) ~II <br /> Date a Custodian's intials <br /> . ~ ~ t <br /> ~ ~ ~ ~ ~ ~ Z ~ ~ ~ ~ ~ ~ expenditures Employees ature <br /> 5 o~4~W~Y G~NTER <br /> EUG~N~ CR ~74C1 <br /> Request for Advance of Funds <br /> (Ta requesf reimbursemenf, use previous box.) <br /> $TOR~; 02$~ RAG o 01 ~$7 TRA~# ~ 050 Date Custodian's intials <br /> € C 1 ~C$~~CC~ ~~P t ~ao$7 Amount Employee's initials <br /> Expenditures .Custodian's initials <br /> <br /> . C~1. 0~ h~I$AD~ P~~~~~T CRG , <br /> Money returned Employee's signature <br /> X7$1 ~98C$~501 C~ T C ~ C$ Amaunt due <br /> ~ $ , ~9 50~ PROMO to empioyae <br /> C~~ CC ART of ~Fhl FLOWERS M~~I wendarand Item Purchased , <br /> . ~G $o~ PROMa ~ ~ f <br /> 1 <br /> CAL 09 COPPER MET~LI.~C PST . <br /> 97$ ~ 5~8 ~ 7936 C~ T C . 49 <br /> ~~,G9 50 <br /> ~6 PROMO <br /> CAL C~ GR~~f{ ISL~$ MEIS MI~~ cc nt Codes <br /> V~~J~~~~~ 4~$7T Wei T ~ ~ ~ r °Td <br /> $ , 99 506 PROMO ~ _ _ ~ <br /> UV~ <br /> , <br /> Sub~o~a~ <br /> ~o , 9 <br /> ~R ; $~~~~~$O5~ ~ ~ ~~~~a aear I TOTAL: $ r <br /> . <br /> 4 ~~ems Tara 1 ~q , 4$ <br /> CAE <br /> C~ 2C,~ <br /> 6 <br /> ACCT ~ $ <br /> ~ 1C~ ~ <br /> ~~TH ~ Pe#~y Cash (Request <br /> Person requesting cash ~Printy ~ ~ _ , <br /> Supervisor's approval _ ° <br /> Request for Reimbursement <br /> roJ ~ <br /> C~ <br /> ! ~ C <br /> {To requesf advance, use nexf box.) <br /> a'' ,,.n. <br /> f.. <br /> Date Gustodian's intials _ <br /> Expenditures Employee' ,~~nature <br /> ~v=;~.-w.,.~ <br /> .earn how ~o save up ~5~ on <br /> busi Hess purchases b~ cad ~ i ng Request for Advance of f=unds <br /> ~ ~ ~ ~~J~1 M~$~~~ (To request reimbursement, use previous box.) <br /> Shop en ~ ~ ne a~ www r bo rde rs , CQi7i Date _ Custodian's intials <br /> Amount _w..~. Employee's initials _ <br /> ^ Expenditures ~ Custodian's initials _ <br /> Money returned ~ Employee's signature <br /> ~ ~ ~ ~ ~ ~ Amaunt due ~ <br /> ~ r~~ r~~ - , to em to ee <br /> p Y <br /> a-.., ~ ~ a ' ~ <br /> z~~ ~ 3,~~ ~ ~ rti~ ~ Vendor and Item Purchased <br /> ~ ~ ~ ~ ~ I <br /> i'~'t 4 G.~ 4~,w' ~t ~ ~ w.r ~ err. 4 '~s.. ~''~i~.y, rww.~ <br /> r.r~ 1T 1 6 <br /> '.f~.~ ~ I,...E.. ~ ~ {mot <br /> w~' ~ ~ ~ ~ ~ ~ Account Co e <br /> r~ ~ ~ _ _ _ _ _ - - - - - <br /> ~ ~ <br /> r ~ ~ <br /> u " ° <br /> w ~ ."gyp. Revised 4697 TOTAL: <br /> <br />