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Get Boston University Petty Cash Fund Authorization Signature Form

Ll in all fields in this form except the signatures, print the form, obtain appropriate signatures and then deliver to the University Cashier for processing. Please complete Parts A, B & C and return the form to the Cashier s Office at the above address. Part A Date: Department Name: Unit/Department Code: Telephone: Enter 7 or 10 digits The personnel listed below are authorized to replenish petty cash as of the above date: Part B Employee ID Number Name: Last, First, Initial Signature Cu.

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