PETTY CASH VOUCHER Form Code: HSW-F31

 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: ____/____/____