Pta Cash Verification Form
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1CASH VERIFICATION FORM
(Membership, Fundraisers, Donations)
START UP CASH $
COINS
CURRENCY
______________ x 1¢ = _______________
______________ x $ 1 = _______________
______________ x 5¢ = _______________
______________x $ 5 = _______________
______________ x 10¢ = _______________
______________x $ 10 = _______________
______________ x 25¢ = _______________
______________x $ 20 = _______________
______________ x 50¢ = _______________
______________x $ 50 = _______________
______________ x $1
= _______________
______________x $100 = _______________
TOTAL $ _________________
TOTAL $ _________________
UNIT NAME
_________________________________________________________________________________
ACTIVITY
DATE
COINS
CHECKS Attach adding machine tape of itemized checks.
______________ x 1¢ = _______________
# ___________$ _________
# ___________$ _________
______________ x 5¢ = _______________
# ___________$ _________
# ___________$ _________
______________ x 10¢ = _______________
# ___________$ _________
# ___________$ _________
______________ x 25¢ = _______________
# ___________$ _________
# ___________$ _________
______________ x 50¢ = _______________
# ___________$ _________
# ___________$ _________
______________ x $1
= _______________
# ___________$ _________
# ___________$ _________
TOTAL $ _________________
# ___________$ _________
# ___________$ _________
# ___________$ _________
# ___________$ _________
CURRENCY
# ___________$ _________
# ___________$ _________
______________ x $ 1 = _______________
# ___________$ _________
# ___________$ _________
______________x $ 5 = _______________
# ___________$ _________
# ___________$ _________
______________x $ 10 = _______________
# ___________$ _________
# ___________$ _________
______________x $ 20 = _______________
TOTAL $________________
# ___________$ _________
______________x $ 50 = _______________
______________x $100 = _______________
GRAND TOTAL $
TOTAL $ _________________
Membership Dues
# _______ members @ $ ______ (dues) = $ ______ + donations = $ _____ Grand Total $ ________________
FOR OFFICIAL USE ONLY
Amount Received: $ _______________________________
Signature _________________________________________
Signature _________________________________________
Signature _________________________________________
Signature _________________________________________
Date _____________________________________________
Forms
California State PTA Toolkit – May 2016
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