Itemized Receipt Form - Janie Stark Elementary
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1Itemized Receipt Form
(To be used when giving funds to Treasurer)
Event
Date
Chair
Phone No.
Person completing form
Phone No.
(Please make sure that there are always 2 people counting money to protect the reliability of the count)
Total of checks
$
)
(attach a tape/written account
Bills
#
Amount
$100
$50
$20
$10
$5
$2
$1
Total
Total Bills
$
Coins
#
Amount
Dollar
50 Cent
Quarters
Dimes
Nickels
Pennies
Total
Total Coins
$
Total Cash
$
Total Deposit
$
Counter’s Signature
Counter’s Signature
Date
Received by Treasurer
Date
(When turning in a deposit, please allow time for another count of the total deposit so a receipt can be given to the
person turning in the deposit)
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Parent category: Business