                       [PETTY CASH RECORD]


  DATE    PAID TO        FOR     DEPT.  APPROVED BY   BALANCE
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|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|______|____________|___________|_____|_____________|_______.__|
|      |            |           |     |             |          |
|      |            |           |     |             |       .  |

