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I, - ~ ~ , <br /> ti <br /> i' G <br /> t= , Petty Cash Request <br /> ~ Person requesting cash (Print}. <br /> w~ ~ <br /> t , I <br /> ~ Supervisor's approval <br /> Reques# for. Reimbursement <br /> (To request aduance, use. next box.) <br /> ~ ~ ~-0~ <br /> Date Custodian's intials <br /> E ~ ~ E: N E ~ ~ ? Expenditures. employee's signature <br /> MEMBER #111 ~733~4534 1 <br /> ~ s ; , Request far Advance. of funds <br /> 34957 ICE BA~ ~ ~ ~ ~f; (To request reimbursement, use previous box.) <br /> 34950 20~ IcE BAG 2 99 <br /> 349507 20# ICE BAG 2.99 ~ Date Custodian s intials <br /> 591 APPLE JUICE 7.59 ~ <br /> E ~ ~j, : Amount ~ ~ ~ w ~ Em la ee's initials <br /> . , 27380 KS CRANIRASP ~9 ~l:~: y ~ v <br /> <br /> . ~ 24311 VAR. MUFFIN ~.49~, f'" Expenditures Custodian's ir~itiais <br /> 24311 VAR. MUFFIN b.49~ ~ 9 <br /> Mvne returned <br /> ~0~35 BLUEBERRY MU ~ . 49 Y ~mplaye~ ~i atur <br /> r Amount due ' <br /> 5Q583 FRSH FRUIT 11 ~99~ to employee <br /> 50f~83 ~RSH FRUIT 11 ~ 99~ <br /> 5083 FRSH FRUIT 11.99 ~ Ve~dar and Item Rurcl7ased <br /> 4148 CRM CHEESE 8.99.E <br /> 51059 M'INNEOLAS x.49 ~ . , <br /> 51059 MINNE(ILAS 6.49 <br /> ~ <br /> TOTAL e i <br /> r. <br /> Cash ; , <br /> CHANGE ,f~ ~ 4.34 k; _ > Account Codes <br /> ~ <br /> TOTAL NUMBER F I S SGLn 14 4 <br /> CASHIER ~ BRUCE REG# 7 <br /> I ~ ~ 15 ~ C017 07 0224 30 ~ <br /> . ~-..v~u~~.+...a,...... <br /> E`, <br /> T h ~ n ~ ~ ~ . ~~U~~d TOTAL. <br /> . <br /> ~I <br /> ~ * ~ I ~ ail <br /> ~K * ~ <br /> k <br /> ~ * y~ ~ ~k ~k ~k I <br /> * ~ r ak ~ ~ 'I <br /> ~u ~ Nm ~9 <br /> ~ C Q m <br /> a © <br /> ~ ~ x rb i cn rn <br /> ~n m ~ <br /> ' 3~~ ~ ~ ~ ~ r~ d~ <br /> CT 7K rn ~ <br /> ~ <br /> i Ti ~ va ~ <br /> ~ H Q <br /> ~ * ~ u ~ ~ ~ <br /> p <br /> 4s ~ <br /> ? <br /> 3 <br /> W IV <br /> fi * ~ <br /> * ~ w m <br /> ~ ° c~ ~ ~ ~ <br /> ~ ~ ~ <br /> N ak O ~ ~ m <br /> .'L3 ~ ..,N Q t70 C~ DO <br /> C ~ ~ ~ 'V <br /> * i <br /> n * ~ ~ 'I <br /> ~ ~ ~ ~ ~ <br /> ~ * ~ ~ ~ v <br /> cn w <br /> us II <br /> ro ~ i , <br /> ~ ~ ~ rn ~ ~ <br /> * N N ~ <br /> N * ~O ~ ~ <br /> * T1 TI I ~ <br /> ~k <br /> <br />