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Petty Cash Voucher

A petty cash voucher is a form used to document small disbursements from a petty cash fund. It shows the request for funds, approval of the request, receipt of cash, and later reconciliation after the funds are spent. This voucher requests 150 pesos for photocopy expenses, and documents the approval of the request and distribution of funds from the petty cash custodian to the payee.

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2K views2 pages

Petty Cash Voucher

A petty cash voucher is a form used to document small disbursements from a petty cash fund. It shows the request for funds, approval of the request, receipt of cash, and later reconciliation after the funds are spent. This voucher requests 150 pesos for photocopy expenses, and documents the approval of the request and distribution of funds from the petty cash custodian to the payee.

Uploaded by

Wimsy Galvez
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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Petty Cash Voucher

- usually a small form that is used to document a disbursement (payment) from a petty cash fund.
- also referred to as petty cash receipts and can be purchased from office supply stores.

Appendix 48

No. : PCV 2018-04-001


PETTY CASH VOUCHER
Entity Name : GNVHS Date : 04/17/2018
Fund Cluster: 101101

Payee/Office :Saint Rose Photocopy Responsibility Center Code:


Address : Poblacion , Guiguinto, Bulacan ______________________

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

Particulars Amount
Total Amount Granted PHP 150.00
Payment for photocopy PHP 150.00
of documents for seminar Total Amount Paid per
and training. OR/Invoice No. 0110 PHP 150.00

Amount Refunded/
(Reimbursed) 0

A Requested by: C
Received Refund
TERESITA C. RIVERA
Signature over Printed Name / Reimbursement Paid
Name of Requestor

Approved by:

ROMAN M. CARREON MARA BELLE C. CADA


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

B Paid by: D
/ Liquidation Submitted
MARA BELLE C. CADA
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian
Cash Received by:

TERESITA C. RIVERA TERESITA C. RIVERA


Signature over Printed Name Signature over Printed Name
Payee Payee
Date: 4/17/2018 Date: 4/17/2018

127
Appendix 48

No. : PCV 2019-01-001


PETTY CASH VOUCHER
Entity Name : GNVHS Date : 04/17/2018
Fund Cluster: 101101

Payee/Office :Saint Rose Photocopy Responsibility Center Code:


Address : Poblacion , Guiguinto, Bulacan ______________________

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

Particulars Amount
Total Amount Granted PHP 150.00
Payment for photocopy PHP 150.00
of documents for seminar Total Amount Paid per
and training. OR/Invoice No. 0110 PHP 150.00

Amount Refunded/
(Reimbursed) 0

A Requested by: C
Received Refund
TERESITA C. RIVERA
Signature over Printed Name / Reimbursement Paid
Name of Requestor

Approved by:

ROMAN M. CARREON MARA BELLE C. CADA


Signature over Printed Name Signature over Printed Name
Name of School Head Petty Cash Custodian

B Paid by: D
/ Liquidation Submitted
MARA BELLE C. CADA
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian
Cash Received by:

TERESITA C. RIVERA TERESITA C. RIVERA


Signature over Printed Name Signature over Printed Name
Payee Payee
Date: 4/17/2018 Date: 4/17/2018

127

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