Petty Cash Log Of Disbursements
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1Send to Accounts Payable, MS 3C1
Tel: 703.993.2580
Fax: 703.993.2589
Petty Cash Log of Disbursements
Fund/Org:
Page:
(1)
(2)
(3)
(4)
(5)
(6)
Date
Recipient(s) Code
Method of Payment
Amount
Description
Notes /Comments
Instructions
(1)
Enter the date of disbursement
(2)
Name of recipient(s) (if confidential, please provide recipient ID or code)
(3)
Identify method of payment (cash, gift card, etc.)
(4)
Enter amount
(5)
Provide brief description of expenditure (parking fee, subject payments, etc.)
(6)
Notes/Comments (optional) may be used to document periodic disbursements to Petty Cash Office for reimbursement, etc.
Petty Cash Log /Excel Sheet
Petty Cash Guidelines for PIs
Updated January 2014
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Parent category: Financial