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[]
[null,null,"Missouri State University – West Plains"]
[null,null,"Petty Cash Expense Report"]
[null,null,"(Return this form and receipts to the business services office in Cass Hall 204 to receive reimbursement)"]
[]
[]
[null,null,"Reason for Using Petty Cash ",{"$nulls":5},"Employee Name (Last, First) – Please Type or Print"]
[]
[]
[null,null,"Department"]
[]
[]
[null,null,"Employee Signature ",null,null,"Date ",null,null,"Employee Banner ID #"]
[]
[]
[null,null,"Authorized Signature",null,null," Date ",null,null,"Budget Number"]
[]
[null,null,"Vendor Name",null,null,"Description of Item(s)",null,"70523\nOffice\nSupplies\nAmount(s)","70525\nFilm\nDeveloping\nAmount(s)","70562\nEducational\nSupplies\nAmount(s)","70580\nBldg/Ground\nSupplies\nAmount(s)","Misc\nAmount(s)"]
[]
[]
[]
[{"$nulls":13},"Total to be reimbursed"]
[]
[]
[{"$nulls":7},{"$f":"SUM(H19:H23)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(I19:I23)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(J19:J23)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(K19:K23)","v":{"v":0,"d":"$0.00"}},{"$f":"SUM(L19:L23)","v":{"v":0,"d":"$0.00"}},null,{"$f":"SUM(H25:L25)","v":{"v":0,"d":"$0.00"}}]
[]
[null,null,"Condensed Petty Cash Policy/Reimbursement Instructions ",{"$nulls":4},"(For complete policy see the Travel and Petty Cash Regulations or Purchasing Procedures Manual)"]
[]
[null,null,"1) ","Petty Cash Expense Report form must be accompanied by receipt(s) for each purchase taped to an 8 ½” x 11” piece of paper"]
[null,null,"2) ","Reimbursement check will be mailed to employee’s campus address"]
[null,null,"3) ","Purchase must be from a local vendor and for less than $100"]
[null,null,"4) ","The following expenses are not reimbursable: goods/services normally available from other University departments, postage, long distance services rendered by an employee, travel, photocopy, personal loans, food, greeting cards, flowers, gifts, sales tax"]

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