Dandenong High School Petty Cash/personal Reimbursement Page 3

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DECLARATION
I,
Of Dandenong High School do solemnly and sincerely declare
THAT I have purchased goods or services to be used and owned by Dandenong High School and
that I was not issued/have lost an original tax invoice or receipt.
Goods purchased:______________________________________________________________
_____________________________________________________________________________
Supplier:______________________________________________________________________
Amount:_____________________________________
SIGNATURE:_____________________________________ DATE:__________________________
Approved:_________________________________________________________ (Domain Leader)
Budget:________________________________________________________________________
SIGNATURE:_____________________________________ DATE:__________________________
APPROVED BUSINESS MANAGER
SIGNATURE:_____________________________________ DATE:__________________________

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