Fillable Printable Cash Advance Receipt

Cash Advance Receipt

(This original document is attached to check voucher)

___________________________acknowledges receipt

(name of employee/volunteer)

of $___________________ to be used to cover travel cost to

(amount)

____________________________________________________

(name of event)

on ____________________________.

(date)

I have reviewed the travel policy guidelines and understand them fully. I agree to abide strictly by the terms of

the policy. I will return all receipts and/or a copy of a UGA travel reimbursement form along with unused cash

within 5 business days of my return. I will promptly repay this advance upon receiving any reimbursement

from other sources.

_______________________________ __________________

Employee/Volunteer Date

_______________________________ __________________

CEC

Date

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Complete this section after completion of this obligation. Send a copy of completed form to the district

office with your next monthly reconciliation report. Attach original with all supporting documentation to

check voucher.

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All cash and/or expenditure documents have been presented and the above agreement has been fulfilled.

Receipt number ________________ represents cash returned. (Enter N/A if no cash was returned.)

_______________________________ __________________

CEC

Date