PETTY CASH REQUISITION FORM

NATURE OF TRANSACTION ADVANCE FOR MATERIAL SERIAL NUMBER MM/YYYY

NAME OF EMPLOYEE ISLAM EZAT DAMOUS DATE 25-Jan-211520
DEPARTMENT MAINTENANCE CAM # 1520
DOOR NUMBER ASSET NAME YARD AREA
AMOUNT 28 SAR 120 PR # CASH

REQUISITION DEPARTMENT MANAGER

USAMA MOHAMED IS IT RELATED TO BREAKDOWN OF ASSET AT CLIENT LOCATION? No

REPORTING MANAGER SEAL O-RING as sample 3 PICs.

all AMOUNT OF 28 SAR

(comments and justification)

Approval of
reporting manager
WITH VAT CHRGES TOTAL AMOUNT SAR 226 SAR (signature and
date)
FOR URGENT CASH PURCHASE.

PROCUREMENT DEPARTMENT
(to be filled by above mentioned department only)
PROCUREMENT DEPARTMENT IS/ARE ITEMS AVAILABLE ON CREDIT FROM A REGISTERED VENDOR? Yes/No

(comments and justification)

Approval of
procurement
manager (signature
and date)

GOODS RECEIVED DATE

PURCHASE ORDER NUMBER

PETTY CASH (to be filled by Accounts Department)

RECEIVER Name: ISLAM DAMOUS CAM # 1520 Signature

PAYER Name: CAM # Signature

Note
i) Any advances not cleared within 15 days of the date mentioned above shall be deducted from the following months salary.
ii) All requisitions have to be submitted to Accounts via Procurement department with MANDATORY PR number

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