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The Evergreen State College

PETTY CASH VOUCHER


INSTRUCTIONS FOR COMPLETING THIS FORM ARE INCLUDED ON THE SECOND PAGE.
COMPLETE ONLY THOSE AREAS PERTINENT TO YOUR CLAIM.
1. CHEC ONLY ONE
A!van"e #$ to %1&&
A!van"e over %1&&
Re'()#r*e(ent
AUTHORIZATION SIGNATURE REQUIRED FOR ADVANCE/REIMBURSEMENT OF FUNDS
+. RE,UESTOR-S NAME .PLEASE PRINT/ 0. RE,UESTORS A 1 2. EMAIL 3. DATE
A
4. ORGANI5ATION APPRO6AL SIGNATURE
7. DATE


8.99999999999999999999999999999999999
ACCOUNTING APPRO6AL
99999999999999999999999999999999999
SIGNATURE OF ACCOUNTING MANAGER (for advance over !"##$
:. PREPARED ;Y<


1&. PREPARER-S
E=TENSION

11. EMAIL


1+. DESCRIPTION OF ITEMS PURCHASED OR TO ;E PURCHASE
.One re"e'$t $er l'ne/
10. RECEIPT TOTAL
INCLUDING TA=
12. ORGANI5ATION
CODE
13. ACCOUNT
CODE






14. TOTAL
AFTER COM%&ETING ITEMS " THROUGH "'( DE&IVER THE ORIGINA& INC&UDING BAC)*U% DOCUMENTATION TO BUSINESS SERVICES
+%ETT, CASH- MAI&BO.( &""/01 REQUESTS RECEIVED %RIOR TO 23## %M 4I&& NORMA&&, BE AVAI&AB&E 4ITHIN /5 6 57 HOURS AT THE
CASHIER8S OFFICE1
TO BE COM%&ETED AT THE CASHIER8S OFFICE
17. %ETT, CASH ADVANCE ON&, 18. %ETT, CASH REIMBURSEMENT ON&,
I "ert'>? that I have re"e've! % a* a "a*h a!van"e to
)e e@$en!e! a* $ro$er "harge* to TESC an! the a""o#nt 'n!'"ate!
a)ove. I agree to a""o#nt >or th'* a!van"e A'th'n >'ve .3/ AorB'ng
!a?*C or )? or alloA 't to )e !e!#"te! >ro( an? >#n!*
DATE
!#e (e )? the "ollege.
I "ert'>? that I have re"e've! % a* re'()#r*e(ent >or e@$en!'t#re* that
are $ro$er "harge* to The Evergreen State College an! the a""o#nt 'n!'"ate!
a)ove.
1:. SIGNATURE OF PERSON RECEI6ING AD6DREIM; DATE +&. SIGNATURE OF CASHIER DATE

+1. SIGNATURE OF PERSON CLEARING AD6ANCE DATE
+0. AMOUNT AD6ANCED

+2. LESS AMOUNT RETURNED
++. SIGNATURE OF CASHIER CLEARING AD6ANCE DATE
+3. ADD AMOUNT DUE TO
ORGANI5ATION
+4. AMOUNT SPENTDTO ;E
CHARGED TO ORGANI5ATION
CASHIER'S OFFICE HOURS
9:30 AM - 4:00 PM

INSTRUCTIONS FOR COM%&ETING %ETT, CASH VOUCHER
A!van"e* or re'()#r*e(ent* >ro( th'* >#n! are l'('te! to %1&& #nle** a#thor'Ee! )? the A""o#nt'ng
Manager.
1. In!'"ate Ahether ?o# are a$$l?'ng >or an a!van"e or re'()#r*e(ent. Che"B onl? one.
+F2. Pr'nt the na(eC A n#()er an! e(a'l o> the $er*on reG#e*t'ng the a!van"e or
re'()#r*e(ent. Th'* *ho#l! not )e the *a(e $er*on a#thor'E'ng the tran*a"t'on.
3. Date o> reG#e*t.
4H7. O)ta'n the a#thor'Ee! organ'Eat'on *'gnat#re an! !ate o> *'gnat#re. S'gnat#re (#*t )e 'n 'nB<
no *'gnat#re *ta($* $er('tte!.
8. TO ;E COMPLETED ;Y ACCOUNTING< A""o#nt'ng (#*t a$$rove that the "harge.*/ are
a$$ro$r'ate >or the a""o#nt )e'ng "harge!.
:H11. Pre$arerI* na(eC e@ten*'onC an! e(a'l.
1+F10. Jhen reG#e*t'ng re'()#r*e(entC 'te('Ee the $#r"ha*e* an! re"e'$t total*C an! atta"h the
re"e'$t*. A""e$ta)le re"e'$t* are $a'! 'nvo'"e*C !eta'le! *ale* *l'$*C OR a !eta'le! re"e'$t to
'n"l#!e the 'te(.*/ $#r"ha*e!C *ale* ta@ $a'!C an! (etho! o> $a?(ent. A val'! *ale* re"e'$tD"a*h
reg'*ter ta$e (#*t have the ven!or na(e '($r'nte! on 't or 't (#*t )e *'gne! )? the *ale* "lerB
"ert'>?'ng the re"e'$t o> the *$e"'>'" a(o#nt o> (one? >or the *$e"'>'" 'te(.*/ *ol! )? that ven!or.
NOTE3 The >olloA'ng 'te(* are NOT a""e$ta)le a* $roo> o> $a?(ent. CREDIT CARD RECEIPTSC altere!
re"e'$t*C #n$ro"e**e! "he"B* or "o$'e* o> "he"B* ."he"B* that have not )een $ro"e**e! )? the
)anB/C #n$a'! 'nvo'"e*C $hoto"o$'e* o> re"e'$t*C *tate(ent*C a!!'ng (a"h'ne ta$e*C $a"B'ng l'*t*
or letter* reG#e*t'ng $a?(ent.
12. Enter the a$$ro$r'ate organ'Eat'on "o!e.
13. Enter the a$$ro$r'ate a""o#nt "o!e.
14. Enter the total o> all the re"e'$t*
A>ter "o($let'ng 'te(* 1 thro#gh 14C !el'ver the or'g'nal 'n"l#!'ng )a"BF#$ !o"#(entat'on to ;#*'ne**
Serv'"e* KPett? Ca*hL (a'l)o@C L11+3. MaBe *#re to reta'n a "o$? >or ?o#r re"or!*. A""o#nt'ng a$$rove*
the e@$en!'t#re.*/ then >orAar!* to the Ca*h'erI* O>>'"e. Re9:e; rece<ved =efore 23## >1?1 @<AA
nor?aAAB =e ava<Aa=Ae @<;C<n /5 * 57 Co:r a; ;Ce CaC<erD Off<ce1
Ite(* 17 thro#gh +4 A'll )e "o($lete! at the Ca*h'erI* O>>'"e. The $er*on re"e'v'ng the a!van"e or
re'()#r*e(ent an! the "a*h'er A'll *'gn >or the a(o#nt o> (one? re"e've!.
ADVANCES MUST BE C&EARED 4ITHIN FIVE 4OR)ING DA,S1
To "lear an a!van"eC ret#rn the re"e'$t*C a "o$? o> the vo#"herC an! an? re(a'n'ng "a*h ."he"B* are not
a""e$ta)le/ to the Ca*h'erI*. The $er*on "lear'ng the a!van"e an! the "a*h'er A'll *'gn the vo#"her.
Revised: Mond!" #ove$%e& 0'" (0'0

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