Cash Advance Receipt

1234 BizagiWorld, Towstate 5678 (571) 317-0049, (800) 317-0049 | www.bizagi.com

Cash advance

Total advance: [TotalAdvance]

Currency: [CurrencyRequested]

Applicant: [ApplicantName]

Authorizer:[SupervisorName]

[ApplicantName] acknowledges receipt of [TotalAdvance] [CurrencyRequested]

to be used to cover travel to [DestinationCity].

The following expenses have been considered:

Expense Description Amount

[Foreach:Expenses][Type] [Description] [Amount][End]

Cash Advance Receipt

1234 BizagiWorld, Towstate 5678 (571) 317-0049, (800) 317-0049 | www.bizagi.com

I have reviewed the travel policy guidelines and understand them fully. I agree

to abide strictly by the term of the policy. I will return all receipts and/or a copy

of a reimbursement form along with unused cash within 5 days of my return.

______________________________Applicant signature Date:

[AdvanceIssuedDate]