CCSA Business Solutions
3.3
Petty Cash Report
Service Name
Date
Total Amount
GST amount
Amount with no
GST
What is payment for?
Expense code
Total
Cash in hand brought forward from previous period
$
Add previous re-imbursement cheque No.
Sub-total
Less total expenditure this period
$
Cash in hand
$
$
Reimbursement Cheque No: ____________ Amount $__________
Date cheque cashed: _________________
Authorised Signatory
Name:______________________ Signature: _________________
Community Connections Solutions Australia Inc PO Box 118 Katoomba NSW 2780 Ph: 02 47821470 or 1800 991 602 Fax: 02 47824425 Email: [email protected] Website: www.ccsa.org.au
DIRECTIONS FOR COMPLETING:
Date
Enter date payment is made
Amount
Enter full amount of invoice/receipt
What is payment for
Enter brief description of payment made
Enter amounts under
expense description
Where GST payable on item enter amount in column “with GST”
Where GST not payable on item enter amount in column “Amount with no GST”
Totals
Enter total amount of each payment.
Cash in hand brought
forward from previous
period
Enter the cash in hand when last balanced
Add previous
re-imbursement
cheque No
Insert number of cheque
Sub-total
Add both figures and these should equal the amount of the Petty Cash Float
Less Expenditure this
period
Enter the total of the “amount” column
Cash in hand
checked
This should equal the amount of cash you are holding in your petty cash – if not the Petty Cash is unbalanced and should be
Reimbursement
Cheque No.
Enter number of cheque drawn to replenish petty cash float
Amount $
Enter amount of cheque
Name/ Signature:
Print name of authorised signatory, sign and date
Community Connections Solutions Australia Inc PO Box 118 Katoomba NSW 2780 Ph: 02 47821470 or 1800 991 602 Fax: 02 47824425 Email: [email protected] Website: www.ccsa.org.au