Bas Pta Cash/ Check Receipt Form

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BAS PTA
Cash/ Check Receipt Form
Event Name: ___________________
Date of Event: __________________
Your Name: ___________________ (Chair of event/ person responsible for collecting money)
Contact info: ___________________ (in case there are questions/ discrepancies)
CASH:
Large bills (if any):_________________________
$20 bills:
____ bills x $20.00 = $_________
$10 bills:
____ bills x $10.00 = $_________
$5 bills:
____ bills x $5.00 = $_________
$1 bills:
____ bills x $1.00 = $_________
$1 coins:
____ coins x $1.00 = $_________
quarters:
____ coins x $0.25 = $_________
dimes:
____ coins x $0.10 = $_________
nickels:
____ coins x $0.05 = $_________
pennies:
____ coins x $0.01 = $_________
TOTAL CASH…………………………………. $_________
CHECKS:
Total number of checks ______
Total amount of checks $_________
Note: All checks to be made to BAS PTA
TOTAL CASH AND CHECKS: $_________________
Cash that was already in cash box that is being returned (if applicable): $______________
(Note that this amount should not be included in the above tallies)
For PTA Treasurer use:
Date deposit was received: ____________
Counts confirmed by second party (PTA Treasurer): ________________________ (signature)
Date of Deposit to bank:
_____________

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