Itemized Receipt Form
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1ITEMIZED RECEIPT FORM
(To be used when giving funds to the Treasurer)
Event
Date
Committee Chairman
Phone #
Person completing form
Phone #
(Please make sure that there are always 2 people counting money to protect the reliability of the count)
Bills
#
Amount
Cheques
#
Name
Amount
$100
1
$
0
$50
2
$
0
$20
3
$
0
$10
4
$
0
$5
5
$
0
$1
6
$
0
7
$
Total Bills $
2
8
$
$0
9
$
10
$
Coins
#
Amount
11
$
Dollar
12
$
0
50 cent
0
13
$
Quarters
14
$
0
Dime
15
$
0
Nickels
16
$
0
Pennies
17
$
0
Total Cheques $
Total Coins $
3
0.00 1
0
Total Deposit (1+2+3 )$
0
Counter's Signature
Date
Counter's Signature
Date
Received by Treasurer
Date
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Parent category: Business