Receipt Audit Template - www.tools4dev.

org

Receipt Audit Template

Auditor name: ___________________ Date: _____________ Auditor Signature : ______________________

No. ITEM SUPPLIER RECEIPT DATE COST PURCHASED PRICE RECEIPT RETURNS RESULT SUPPLIER
NUMBER BY SIGNATURE
What was Which shop When were What was Does the price in Does the Were any of Has the
purchased? was the item What is the the items the total Who purchased the shop match shop have a the items audit Signature or
purchased ID number purchased? cost? the item? the price on the duplicate of returned for confirmed thumb print of
from? on the receipt? the receipt a cash that the the supplier
receipt? that matches refund? purchase? showing that
the original you met wit
copy? them.

1 6 x 50kg bags Mpala 1467 13th Aug $180USD Logistician - Mr. No – the price in No – on the Yes – two Not J.Muhango
of cement for Hardware 2013 ($30 per Jake Mzimba the shop is $25 duplicate the bags were confirmed
the water bag) per bag price is $25 returned for
pump per bag, with a cash
construction a total of refund
$150 before being
used

2 300 x bed nets PSI 3002 23rd Sep $1500 ($5 Logistician - Mr. Yes Yes No Confirmed Kamanaga
for the 2013 per net) Jake Mzimba
mosquito
campaign

Yes / No Yes / No / Confirmed

NA
Not
confirmed

This template by tools4dev is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License. 1
Receipt Audit Template - www.tools4dev.org

No. ITEM SUPPLIER RECEIPT DATE COST PURCHASED PRICE RECEIPT RETURNS RESULT SUPPLIER
NUMBER BY SIGNATURE
What was Which shop When were What was Does the price in Does the Were any of Has the
purchased? was the item What is the the items the total Who purchased the shop match shop have a the items audit Signature or
purchased ID number purchased? cost? the item? the price on the duplicate of returned for confirmed thumb print of
from? on the receipt? the receipt a cash that the the supplier
receipt? that matches refund? purchase? showing that
the original you met wit
copy? them.

Yes / No Yes / No / Confirmed

NA
Not
confirmed

Yes / No Yes / No / Confirmed

NA
Not
confirmed

Yes / No Yes / No / Confirmed

NA
Not
confirmed

Yes / No Yes / No / Confirmed

NA
Not
confirmed

Yes / No Yes / No / Confirmed

NA
Not
confirmed

This template by tools4dev is licensed under a Creative Commons Attribution-ShareAlike 3.0 Unported License. 2