Cash Verification Form - Oklahoma Pta
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1CASH VERIFICATION FORM
Unit Name ______________________________________ Date _________________
Activity_______________________________________________________________
COINS
_____ x $.01 =________
_____ x $.05 =________
_____ x $.10 =________
_____ x $.25 =________
_____ x $.50 =________
DEPOSIT INFORMATION
Total Coin
=________
ATTACH DEPOSIT SLIP TO THIS FORM
Date of Deposit: _______________________
CASH
Deposit prepared by: ___
______________
_
__
_____ x $1
=________
Deposit Allocation to Budget Line Items:
________________________ $____________
_____ x $5
=________
________________________ $____________
_____ x $10
=________
________________________ $____________
_____ x $20
=________
________________________ $____________
_____ x $___ =________
_____________________________
Total Cash
=________
Total Currency
$__________
Total Checks
$__________
Grand Total
$_________
MEMBERSHIP DUES (if included)
#________ Members @ $______ (dues) = $__________ + donations $_______ = $_________________
Verified by: __________________________
All monies must be counted and verified by two people.
The two people cannot be related by blood, marriage or
Verified by: __________________________
live in the same household.
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