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Appendix 48 - PCV

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91 views2 pages

Appendix 48 - PCV

Uploaded by

michaeljordan.garcia
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Appendix 48

No. : PCV-2021-07-001
PETTY CASH VOUCHER
Entity Name : SCHOOL NAME Date : _________________
Fund Cluster: MOOE

Payee/Office : (disbursing/custodian/person in dept. who request) Responsibility Center Code:


Address : School Address ______________________

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

Particulars Amount
Total Amount Granted ______________ ABD Payee/Requestor
C Disburing
Total Amount Paid per
OR/Invoice No. _______ ______________

Amount Refunded/ (Reimbursed)

A C
Requested by:
Received Refund
Payee/Office :
Signature over Printed Name Reimbursement Paid
(Position of Requestor)

Approved by:

__________________________ __________________________
Signature over Printed Name Signature over Printed Name

127
Position of Immediate Superior Petty Cash Custodian/Disbursing Officer

B D
Paid by:
Liquidation Submitted
__________________________
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian/Disbursing Officer

Cash Received by:

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

127

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