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;l <br /> r <br /> r <br /> .JS <br /> Petty Cash Request <br /> `~'ersan re uestin cash ~Print~ ~ ~ ~ ~ ~ <br /> ~ q g : ~ <br /> Supervisor's approval <br /> ~ ~ Request for Reimburseme <br /> (Ta request advance, use ne ox.) <br /> ~ r ~ ~j f ~ rij ~ ~ ~ ~ <br /> ~ Custodian's intials <br /> ~..i; ~ ~r . ~ ~ Date <br /> i <br /> • ~ ~ ! Ex enditures ~ `7 ~ Employee' signature <br /> I <br /> 1 <br /> Request for Advance of Funds <br /> (To request rermbursemenf, use previous box.) <br /> F <br /> 7 <br /> `1 ~ <br /> 1 <br /> t ion s intials _ <br /> Cus od <br /> i.~~ Date <br /> I Amount ~ Employee's initials _ _ <br /> <br /> i <br /> f T <br /> Ex enditures Custodian's initials <br /> p <br /> ~z• z , <br /> r <br /> natu <br /> r e 5 SI <br /> x . ~ Emilio g <br /> ned <br /> tur <br /> ~ Mone re <br /> w Y <br /> . <br /> s <br /> ~ ~,~,xi Amount due , <br /> ..r ~ to em to ee ~ _4. <br /> 0 <br /> Vendor and Ite Purchased <br /> ~ ~ <br /> ~ <br /> . ~ A c~ <br /> ~ 1~~~ <br /> RsV~~d~ss~l TOTAL: - <br /> ; <br /> ~ <br /> . <br /> ^f <br /> ~~~~I <br /> t <br /> F <br /> ~ j <br /> { <br /> ~ Pe Cash Re ues# ` <br /> Perstkrt re uestin cash Print A <br /> . Supervisor's appravai ~ <br /> I <br /> Request for Reimbursement ~ <br /> (To request advance, use next box, j <br /> E <br /> 'is#~~.~ 'i'~.#i~ '+i~~~{~`.~~~~7 ~ Date <br /> ~ Custodian's intials ` <br /> Expenditur 4 <br /> t ~ ~;;t~;~',~ Employee's signs re ~ <br /> z k ~ ~~~r• ~ ~ Request far Advance of Funds <br /> ~'i :f r <br /> {To request reimbursement, use previous box. j <br /> ~ ~I <br /> Date <br /> Custodian s intials <br /> z <br /> Amount Employee's initials <br /> ti { <br /> # u 'jp'~ r Expenditures Custodian's initials <br /> 'f ~ ~ ~ ~~~7~~~~. p Mane returns f <br /> Y Employee s signa~ure-~ ~ <br /> Amount due <br /> to employee <br /> ~}}kk <br /> ~ ! Vendor and item Purchased <br /> Accau s <br /> _ ~ <br /> 's Revised osA7 TOTAL: <br /> <br />