Appendix 49

REPORT ON PAID PETTY CASH VOUCHERS

Period Covered ______________________

Entity Name: _______________ Report No:________________

Fund Cluster: ______________ Sheet No.:_________________

Petty Cash
Date Particulars Amount
Voucher No.

CERTIFICATION

I hereby certify to the correctness of the above information.

________________________________ ____________
Petty Cash Custodian Date

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