ATLANTA POLICE DEPARTMENT

Fiscal Management Unit

Petty Cash Report

Petty Cash Fund Allotment
Less: Total Cash on Hand
Receipts Attached For Reimbursement
Variance

I ___________________________ certify that the above Petty Cash Fund has been counted and is correct.

____________________________ ___________________________ _________________

Custodian of Fund (print name)	Signature	Date

**Details of Cash on Hand

Currency
Checks
Other (IOU’s)
Total

APD Form 734 revised 1/17/06

Greetings Dr

AJordan

2006-01-19

Atlanta Police Department