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Burbank USD |  E  3314.2  Business and Noninstructional Operations

Revolving Funds   

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BURBANK UNIFIED SCHOOL DISTRICT

REQUEST FOR MONEY - IMPREST FUND

Date: _______________

TO: Director of Fiscal Services

FROM: School Site/Division Head

Please send me a warrant in the amount of $ __ to establish my Imprest Fund.

I agree upon receipt and endorsement of the warrant, I will be personally responsible for the money furnished for my Imprest Fund.

If I am leaving the school district for any reason, or being reassigned to another location, I agree to clear my account. This will be done by submitting a final claim for all purchases made and returning all funds not spent, which I understand must equal the total amount of my Imprest Fund advance.

I further understand that the district cannot reimburse me for any loss or theft of funds from this account; or for charges made by the bank of checks I wrote without sufficient funds.

____________________________________

Signature of Administrator

____________________________________

Title

____________________________________

Date of Board Approval

(Submit in duplicate)

Exhibit BURBANK UNIFIED SCHOOL DISTRICT

version: January 18, 2007 Burbank, California

________________________________________________________

BURBANK UNIFIED SCHOOL DISTRICT

REQUEST FOR MONEY - IMPREST FUND

(INCREASE)

Date: ________________

TO: Director of Fiscal Services

FROM: School Site/Division Head

Please send me a warrant in the amount of $ ____ to increase my Imprest Fund to $ ____ .

I agree upon receipt and endorsement of the warrant, I will be personally responsible for the money furnished for my Imprest Fund.

If I am leaving the school district for any reason, or being reassigned to another location, I agree to clear my account. This will be done by submitting a final claim for all purchases made and returning all funds not spent, which I understand must equal the total amount of my Imprest Fund advance.

I further understand that the district cannot reimburse me for any loss or theft of funds from this account; or for charges made by the bank of checks I wrote without sufficient funds.

_______________________________________

Signature of Administrator

_______________________________________

Title

_______________________________________

Date of Board Approval

(Submit in duplicate)

Exhibit BURBANK UNIFIED SCHOOL DISTRICT

version: January 18, 2007 Burbank, California

__________________________________________________

PLEASE SEE DISTRICT MATERIAL IN DISTRICT OFFICE

FOR

EXHIBIT 3314.2

ENTITLED

"BURBANK UNIFIED SCHOOL DISTRICT

IMPREST FUND CLAIM FORM"

Exhibit BURBANK UNIFIED SCHOOL DISTRICT

version: January 18, 2007 Burbank, California