Petty Cash Year End Count 
             COIN & CURRENCY QUANTITY    DENOMINATION   TOTAL
                                             $0.01        $0.00 
                                             $0.05        $0.00    Date
                                             $0.10        $0.00 
                                             $0.25        $0.00 
                                             $1.00        $0.00    Department/Location
                                             $2.00        $0.00 
                                             $5.00        $0.00 
                                            $10.00        $0.00 
                                            $20.00        $0.00 
                                            $50.00        $0.00 
                                            $100.00       $0.00 
                                           Total Cash     $0.00 
                                                                 A
          RECEIPTS                                                     DO NOT ATTACH OR SEND 
                      (if any list below)       RECEIPTS
                           Description                  Amount
                                                                   Custodian Name (print)
                                                                   Custodian Signature
                                                                   Department Authority Name (print)
          Total Receipts                                   $0.00 B Department Authority Signature
          Total Cash and Receipts (A+B)                    $0.00 A+B
          Total Petty Cash Fund
          Amount over/short                                $0.00
                                                                                     FIN0320(10012014)
          Protection of Privacy - The personal information requested on this form is collected under the authority of Section 31(c) of the PEI 
          Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of 
          reconciliating Petty Cash. Direct any questions about this collection to Financial Services, University of Prince Edward Island, 550 
          University Avenue, Charlottetown PE C1A 4P3 (902)566-6000.