CSH 1.20A (rev. 4/95)                                                                                            ______/______/______
                                                                                                                                               Date

The University of North Carolina at Wilmington
PETTY CASH FUND RECONCILEMENT


1.    Department or Activity: ____________________________________________________________

2.    Reconciled by:                ____________________________________________________________

3.    Cash Overage (to be remitted to Accounting)
        (If item c is greater than item d, enter difference.)       $ _________________

4.    Cash Shortage (to be reimbursed by Accounting)
        (If item c is less than item d, enter difference.)            $ _________________
 
 

AUTHORIZATION SIGNATURES

      ________________________________    ________________________________
        Custodian                         Date      Department Head                      Date
 

(For Accounting Use Only)

Distribution:    The petty cash custodian shall submit one copy of the completed reconcilement form
                           (with Petty Cash Reimbursement Request and original paid invoices and/or register tapes)
                           to the Accounting Office for reimbursement. Error processing SSI file