Unused Cash Advance Repayment Receipt

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UNUSED CASH ADVANCE REPAYMENT RECEIPT
Received from:
Name: ___________________________ Employee ID: ___________
Cash Advance Name (
: _________________________________
or Key)
Amount: $________ Paid by:
☐ Cash
(Do NOT send cash by inter-office mail)
☐ Cheque #________
☐ Money Order
Signature:________________________ Date: __________________
This section for Financial Services use only
Received by:
Financial Services
Name: ____________________________
Position: ____________________________
Signature: ________________________ Date: __________________

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