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Petty Cash Voucher

This petty cash voucher form has fields to document a petty cash request and liquidation. Section I is for filling out the request, including particulars, amount requested, and approvals. Section II is for filling out the liquidation, including total amount granted, amount paid, amount refunded, receipt of refund, and liquidation submission. The form provides a record of petty cash transactions from request to reimbursement.

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Donnabelle Maquimot
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21 views1 page

Petty Cash Voucher

This petty cash voucher form has fields to document a petty cash request and liquidation. Section I is for filling out the request, including particulars, amount requested, and approvals. Section II is for filling out the liquidation, including total amount granted, amount paid, amount refunded, receipt of refund, and liquidation submission. The form provides a record of petty cash transactions from request to reimbursement.

Uploaded by

Donnabelle Maquimot
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Appendix 48

No. : __________________
PETTY CASH VOUCHER
Entity Name : DEPARTMENT OF HUMAN SETTLEMENTS AND URBAN Date : _________________
DEVELOPMENT

Fund Cluster: _____________________________

Payee/Office : ____________________________ Responsibility Center Code:


Address : ________________________________ ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Total Amount Granted ______________

Total Amount Paid per


OR/Invoice No. _______ ______________

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund

Signature over Printed Name Reimbursement Paid


Name of Requestor

Approved by:

MARIAM JOJI T. BUNAGAN


Signature over Printed Name Signature over Printed Name
Name of Immediate Supervisor Petty Cash Custodian

B Paid by: D
Liquidation Submitted
MARIAM JOJI T. BUNAGAN
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian
Cash Received by:

MARIAM JOJI T. BUNAGAN


Signature over Printed Name Signature over Printed Name
Payee Payee
Date: _______________ Date: _______________

127

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