PORT CLINTON MUSIC BOOSTERS

DEPOSIT FORM

 

COMMITTEE/ACTIVITY TO BE CREDITED FOR THIS DEPOSIT_____________________

 

DATE OF DEPOSIT ___________________________

 

PERSON MAKING DEPOSIT _________________________________

 

PHONE _______________________ E-MAIL _______________________________

 

CURRENCY

NUMBER OF BILLS

TOTAL AMOUNT

HUNDREDS

 

                           .

FIFTIES

 

                           .

TWENTIES

 

                           .

TENS

 

                           .

FIVES

 

                           .

ONES

 

                           .

                                                           

                                                                                    TOTAL IN BILLS_____________

 

COIN

NUMBER OF COINS

TOTAL AMOUNT

DOLLAR

 

                               .

HALF DOLLAR

 

                               .

QUARTER

 

                               .

DIME

 

                               .

NICKEL

 

                               .

PENNIES

 

                               .

 

                                                                                    TOTAL OF COINS ___________

 

TOTAL IN CASH      $_________________

 

TOTAL IN CHECKS            $_________________

 

GRAND TOTAL       $_________________

 

*All checks should have student’s last name and first initial on the memo line.

** All checks and cash (except from concessions) should be listed on the 2nd page.

 

Signed:

 

Witness #1 ___________________________________________ Date ___________________

 

Witness #2 ___________________________________________ Date ___________________
 

PORT CLINTON MUSIC BOOSTERS

DEPOSIT FORM

* All checks should include the student’s last name and first initial on the memo line.

** Photocopies of the checks may be attached in lieu of listing by hand.   

NAME

CASH

   CHECK #

AMOUNT

 

 

 

           

                            

 

 

 

                              

         

 

 

 

   

                                  

 

 

 

                                      

 

 

 

 

                                       

 

 

 

 

                                        

 

 

 

 

                                      

 

 

 

 

                                  

 

 

 

 

        

                             

 

 

 

 

                                      

 

 

 

 

                                      

 

 

 

 

                                      

 

 

 

 

                                      

 

 

 

 

                                      

 

 

 

 

                                     

 

 TOTAL OF CASH $ __________________  TOTAL OF CHECKS $ ____________________