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Itemized Receipt Template 1

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Itemized Receipt Template 1
Itemized Receipt Template 1
Itemized Receipt Form
(To be used when giving funds to Treasurer)
Event Date
Chairman 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)
Itemized Receipt Template 1
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