MIAMI DADE COLLEGE
PETTY CASH VOUCHER
Describe materials and/or services received:
Date: __________________
I certify that all materials and services included in this purchase are for college use only.
Department Name
Cost Center and Object Code
Department Authorization
Purchaser Name (Print)
Purchaser Signature
Telephone
Amount
NOTE: If an individual other than the purchaser named above is to receive the cash, the following authorization is required:
I hereby authorize
to receive the above amount on my behalf.
Printed Name
_________________________________________
Purchaser Signature
FOR BURSAR'S OFFICE USE ONLY
______________________________________________
_________________________________________
Petty Cash Receipt Number
Received By (Signature)
Rev. 07/05
MIAMI DADE COLLEGE
PETTY CASH VOUCHER
Describe materials and/or services received:
Date: __________________
I certify that all materials and services included in this purchase are for college use only.
Department Name
Cost Center and Object Code
Department Authorization
Purchaser Name (Print)
Purchaser Signature
Telephone
Amount
NOTE: If an individual other than the purchaser named above is to receive the cash, the following authorization is required:
I hereby authorize
to receive the above amount on my behalf.
Printed Name
_________________________________________
Purchaser Signature
FOR BURSAR'S OFFICE USE ONLY
______________________________________________
_________________________________________
Petty Cash Receipt Number
Received By (Signature)
Rev. 07/05
RESET