PETTY CASH COUNT SHEET
DATE
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
STATION
Check by:
Please Select
Financial Auditor
Area Manager
AM's Email
example@example.com
Denomination
Qty
Total
1
2
3
4
5
6
7
8
9
10
11
12
TOTAL CASH
Total Expenses on hand (with receipts)
Total Cash Advances Voucher (if any)
Un-Replenished Expenses (proof or check with Acctg.)
Total
Petty Cash Fund
Over (Shortages)
Remarks during the conduct of audit
Station Sup/OIC's Name
Station Sup/OIC Signature
Auditor's Name
Signature
Area Manager's Name
Signature
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Should be Empty: