Petty Cash Fund Reconcilement - (UNCW Admin. Form CSH1.20A)

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: ____________________________________________________________

(a) Cash on Hand $ __________________

(b) Total Unreimbursed Vouchers $ __________________
(Attach decentralization print-out.)

(d) Amount of Fund as Authorized by the Director of Accounting $ _________________

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)

Amount Reimbursed by Accounting: $ __________________ _____/_____/_____^Date

Check Number: _______________

University Accounting personnel must prepare appropriate forms for all overages and shortages.

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.