<p> LOS ANGELES MISSION COLLEGE REVOLVING FUND REIMBURSEMENT REQUEST NOT TO EXCEED $250 *** I. PRIOR TO PURCHASE APPROVAL</p><p>Requested by Ext. Activity Supervisor Date</p><p>Date</p><p>Destination Office Supervising Administrator Date </p><p>Account Number II. INSTRUCTIONS 1. Itemize purchase, unless it is itemized on receipt. Attach separate sheet for additional items if needed. 2. Attach receipt (signed by you), paid invoice(s), or copy of advertisement for payment. 3. Obtain signature of Supervising Administrator on this form. 4. Take items purchased to Receiving Department for certification of receipt. 5. Forward completed form (with attachments) to: BUSINESS OFFICE QUANTITY *ITEM UNIT PRICE TOTAL</p><p>Make Check Payable to: Subtotal Sales Tax Supervising Administrator: Total</p><p>III. CERTIFICATION</p><p>Certification that items listed were received at Los Angeles Mission College: Stock Control Supervisor I hereby CERTIFY that the item(s) listed above is/are for the use of the Office of Los Angeles Mission College.</p><p>Print Name Signature *For electrical devices only. It is the responsibility of the Purchaser to make sure that the electrical equipment meets L. A. City code and has approval stamp. See Facilities Manager for details. Items passed inspection: Facilities Manager FOR OFFICE USE ONLY IV. REIMBURSEMENT APPROVAL</p><p>Vice President, Administrative Services: Check #</p><p>College Financial Administrator: Amount</p><p>Date (LAMC 09/03) *** REIMBURSEMENT IS NOT GUARANTEED UNLESS PRIOR TO PURCHASE APPROVAL IS OBTAINED!!! Purpose of Form</p><p>The Revolving Cash Fund, authorized by the Board of Trustees under provisions of the Education Code Section 85410, is used to reimburse college employees who have made cash purchases for the college. Expenditures are direct charges against the appropriated departmental budget.</p><p>THE BOARD OF TRUSTEES RULES FOR THE REVOLVING CASH FUND</p><p> The College Financial Administrator shall be custodian for the Fund, and responsible for adherence to applicable rules and regulations regarding disbursements from the Fund at the college.</p><p> The Vice President of Administrative Services or his/her designee shall approve all disbursements.</p><p> Disbursement from revolving funds shall be limited to a maximum expenditure of $250; including taxes, for any one transaction, for small quantities of urgently needed supplies or materials. Multiple common transactions are not authorized.</p><p> The Fund may not be used for salary payments, equipment replacement, or capital outlay expenditures.</p><p> The fund may not be used to pay for credit purchases made in the name of the college. No employee has the authority to commit the credit of the college in this manner.</p><p>UNAUTHORIZED EXPENDITURES</p><p>Freight bills, postage, memberships, mileage, convention or travel expenses, hospitality expenses, awards of any kind, or insurance premiums of any type.</p><p>Equipment items, film rental in excess of $10, subscriptions, unless payment is required in advance and postage unless an emergency.</p><p>PURCHASE DOCUMENTATION REQUIREMENTS</p><p>Revolving Fund Reimbursement Request document with signature approval from the department head and college and Vice President of Administration designating authority to make a purchase for the college.</p><p>Electrical devices must be inspected and approved by the Facilities Manager. All items purchased must be inspected and signed as received by the Stock Control Supervisor.</p><p>Paid invoices showing detail of the purchase, specifically item description, quantity, price by item, total per invoice, and the vendor name. Cash register receipts must be supported by an itemized list of the items included in the purchase. Cash register receipts must have the vendor’s name imprinted on it. The individual receiving the reimbursement must sign all receipts and invoices.</p><p>Purchaser need to certify on the Revolving Fund Reimbursement Request that the purchases were for the college by completing Section III—Certification.</p><p>D:\Docs\2018-04-03\0e1561ac63cb198e478fcf18625cfe74.doc</p>