New Search
- , <br /> Petty Cash I4equest <br /> Person requesting cash Print) S ~ <br /> . _ ~ ' Supervisor's approval <br /> . <br /> I <br /> Re est for Reimbursement ~ <br /> t <br /> . ~ , (To quest ~d vance, use next box.) <br /> ~tt ~wM ~ ~ Date ~ <br /> Custodian's ir~tials <br /> _ <br /> ~xpenditu~es _ ~Em 'sign Lure ~ <br /> ~1~~ as ~1'S7A^ ~{E~~ ~ ~ i. <br /> ~.t,El~~ <br /> Request far Advance of Funds <br /> . (To request reimbc,rsement. use previous box.) <br /> ~ <br /> ~ ~ ~ ~ Date it <br /> Custodian s intials <br /> ~ ~p ~ ~ A _ _ mployee s initials _ <br /> <br /> ~ stodian's initials <br /> ~ <br /> ' M recur playee's signature <br /> ~ Ama nt due <br /> ~;~J,r ~ . z ~ ~ x ~ ~ ~ to ~ ployee - _ <br /> E . ~ ~ <br /> } Tw <br /> I L. w <br /> ~9 <br /> ....,~..........~.......~.~..w.. <br /> Vendor and Item Purchased <br /> r <br /> s~~ "~,~~~~~~~~~fi~m~~~~~ Account Codes <br /> rnm+~~rq~xt.~~.t~~~'i''!~ St. ' <br /> rn~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ <br /> _ -...Y.. ~ ~ ~ _ - <br /> ~~m <br /> _ ~ ~ ~ <br /> ,~~.i. ~'i.-~,rt .Lt~iE L:~ w ~ rl,~x ~..~:.w , ~ 1.~ rl ~`~rw <br /> :1:•S•~::1: _ ;~~~r~~t~+l~x~r~i+5+~j~+lti~ir~.+~~.~s,~r~~i;smm~;~~+~.r"~ 1 <br /> ~=~t~~~•~•~~•~r ~~,.,~,•.,,~,~r,~,. TOTAL.: $ <br /> T <br /> `'I <br /> LE~THEH HELL ~ ~ . <br /> 1 X334 GHLGN RD , <br /> A~1RaRA, OR 97002 ~ <br /> ~503~fi7B-155B <br /> . SHL~ 93 004 074573 <br /> ~ 2334 EH~EN RD NC S 1 K05B4 <br /> ADRORA OR 9?002 <br /> DesC~. qty amount <br /> GATORADE COOL B~~1G .1 1.70 <br /> PO~VERBRR CHOC CARAME 1 1 ~ 79 <br /> Subtota ! 3.49 <br /> Tai 0 ~ 00 <br /> Ti~T~ L . <br /> CASH $ 20 , 00 <br /> Change $ -1 fi . 51 <br /> GOT GuN~ ? <br /> l~SE SHEI~l. <br /> ASS AT~GN~NT~ . <br /> ST# 25 TILI. X~X~ DR# 1~ TRAN#~ 1020524 <br /> ~'~SH~ TREV IEF EIN 011 1G:~B~3 . <br /> ~E ~ <br /> <br />