ADMINISTRATIVE PROCEDURES
  Petty Cash Fund Request

Revised:  January 25, 2006  

 

Custodian Information

Custodian Name: 

Title:                    

Telephone #:        

Vendor ID#:        

Vendor ID# for Custodian's Petty Cash Fund will be assigned by the Budgets & Accounting Department

New          Address Change

Mailing Address:       

                             

                             

                             

 

Physical address if different:

                             

                             

                             

 

Create or Increase Fund

Amount Requested:       New Fund     Increase existing fund to

Please attach a written justification for requests of more than $250.

Funds Needed:  

                          Indefinitely

                          Temporary (until)

How fund will be safeguarded:  

                                           Locked cabinet or drawer

                                           Safe

                                           Other

 

Decrease or Close Fund

Amount Returned to Business Office: 

Close Fund   Decrease existing fund to

 

Approvals

 

Signature of Custodian:                                                                                                          

 

Signature of Department Head:                                                                                              

 

Signature of Budgets & Accounting Manager:                                                                      

 

 

Date:                                      

 

Date:                                      

 

Date:                                      

 

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