Bryker Woods Pta Itemized Receipt Form

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Bryker Woods PTA Itemized Receipt Form
(to be used when making deposits and giving funds to the treasurer)
Event
Date
Chairperson
Phone #
Person completing form
Phone #
(Please make sure that 2 people count money to protect the reliability of the count. Both counters must sign below.
Also, make a copy of this completed form and all checks for your own records. After deposit is made, return this form,
copies of checks & bank deposit receipt to the treasurer)
CASH:
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 Checks $ _____________
(make copies of all checks & attach)
Total Deposit $
Counter’s Signature
Date
Counter’s Signature
Date
Received by Treasurer
Date

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