TO: Q0V0te Steels <br />Co. <br />2030 Crass Street Eugene. Oregon 97402 <br />Ph: 541-461-2060 or 1-800-553-0240 Fax: 541-461-0299 <br />11;1]'1- <br />UTS Uk.tiCRP.' Ii 1N r.aC H TOT.AI. <br />dC> <br />FITS] ().N.TER o 1 t o ` <br />4 <br />. c• ~ c'Fr_•'TO'T'AL <br />12,06 5-4 <br />~f <br />Petty Cash Request <br />Person requesting cash (Print) <br />Supervisor's approval - - <br />Request fo arse nt <br />(Torequest a awe tix.J i ' <br />Date ustodi ' ' o . <br />Expenditures Employee's signature <br />Request for Advance of Funds <br />(To request reimbursemorrt.use previous box) <br />Date 9-2ACustodian's Initials <br />Amount Employee's Initials <br />Expenditures Custodian's initials <br />Money returned - Em oyee's signature <br />Amount due <br />to employee <br />Vendor and item Purchased <br />Z , ~V, 7/// <br /> <br />- <br />A".S &97 TOTAL: ~ <br />