HSWAGATA BUDDHA TOOTH RELICS PRESERVATION MUSEUM
PETTY CASH VOUCHER
Form Code: HSW-F31
Voucher Number: ________________________
Date: ____ / ____ / ______
1. REQUEST DETAILS
1.1 Requested By (name): ______________________
1.2 Department / Unit: ________________________
1.3 Purpose of Expense (short):
__________________________________________
__________________________________________
2. AMOUNT
2.1 Amount Requested: _________________________
2.2 Currency: ________________________________
3. APPROVAL
3.1 Approved By (name): _______________________
3.2 Role: ____________________________________
3.3 Signature: __________ Date: ____/____/____
4. PAYMENT
4.1 Paid By (Cashier Name): ___________________
4.2 Signature: __________ Date: ____/____/____
5. RECEIPTS
5.1 Receipt Attached:
[ ] Yes [ ] No [ ] Not available
5.2 Notes (if receipt not available):
__________________________________________
6. CONFIRMATION BY RECIPIENT
I confirm that I have received the petty cash and used it
for the purpose stated above.
Name: ________________________________________
Signature: __________________ Date: ____/____/____
