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- • <br /> A <br /> -----r--~------------------==-----=-=-= <br /> ~ Petty Cash Request RIVER ROAD STATION <br /> pdraySn requesting cash (Print) ~d - EUGENE, Oregon <br /> <br /> Supervisor's approval 974042512 <br /> 4067670659-0097 <br /> Request for Reimbursement 03/08/2008 (800)275-8777 09:12:30 AM <br /> (To request advance. use next box.) ~j _ _ _ <br /> Date ~z~~ Custodian's intials Sales Receipt <br /> Expenditures Emplo e'ssignature Product Sale Unit`" final <br /> Description Qty Price Price <br /> Request for Advance of Funds EUGENE OR 97401 $0.58. <br /> (To req~ue~st reimbursement. use previous box.) Zone-1 First-C 1 ass <br /> Date ~ Custodian's intials Letter <br /> Amount E oyee's initials 1 .7J 02 . <br /> t itiaia_____-__-- Nonmach First-Class $0,17 <br /> Expenditures --~~~III ~ <br /> Money returned - Em eg,4~s gnature Issue PVI <br /> Amount due Q $0,75 <br /> to employee EUGENE OR 97402 Q $1.31 <br /> Vendor and item Purchased Zone-1 First-Class <br /> rr? ~ Large Env O <br /> T I ~ 2 75 3.60 oz. <br /> 333 - 93 :31 <br /> 3Z - ~a/ y30 - 97 S`3 ~ Issue PVI : <br /> Account Codes <br /> 33 3 9 3 3 ~ la1~,~ 2? 5 3q`/ $ ~S. 2 o EUGENE OR 97402 $1.14 <br /> _ _ _ ~ Zone-1 First-Class <br /> ~ Large Env <br /> 2.10 oz. <br /> TOTAL: ~ ~ <br /> WxYy(If9] <br /> - - Issue PVI: $1.14 <br /> 75c Harriet 20 $0.15 $15.00 <br /> Beecher;. <br /> Stowe PSA <br /> Total: ---$18.20 <br /> 2 d~v~ l ~ Paid by: <br /> Personal Check $18.20 <br /> Drder stamps at USPS.com/shop or <br /> <br />