Cash & Remittance Form

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Cash & Cheque Remittance
DATE (mm-dd-yyyy):
DEPARTMENT:
PREPARED BY:
PHONE:
CASH
AMOUNT
X $5.00
$0.00
X $10.00
0.00
X $20.00
0.00
X $50.00
0.00
X $100.00
0.00
COIN
0.00
TOTAL CASH
$0.00
CDN CHEQUES (attach tape)
U.S. CHEQUES (attach tape)
TOTAL CHEQUES
$0.00
TOTAL REMITTANCE
$0.00
FAST CODE
SUBCODE
ACTIVITY
LOCATION
DESCRIPTION
AMOUNT
Required
Required
Required
Optional
Optional
Optional
Required
5 Digits
5 Digits
4 Digits
6 Characters
4 Characters
(Up to 30 Characters)
10000
00000
2001
PST
10000
00000
2022
GST
TOTAL POSTINGS
$0.00
TOTAL REMITTANCE MUST EQUAL POSTINGS. DIFFERENCE
0.00
Return to Accounting Services, ASB B115 for processing
Revised June 2016

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