PTC Deposit Form

ONE FORM PER FUND, PLEASE

Today's Date

Activity / Budget Category

Name

Phone Number

THE FOLLOWING MONEY HAS BEEN RECEIVED FOR THE ACTIVITY:

CHECKS:

(Please attach adding machine tape of individual checks or list individual checks in the following spaces. List additional checks on a separate form and staple to this form.)

Repeater

Check #:

Check Amount:

Add Remove

TOTAL NUMBER OF CHECKS:

TOTAL CHECK AMOUNT:

Section

PAPER BILLS:

NUMBER OF BILLS:
$1

TOTAL AMOUNT:
$

$10

$20

$50

$100

TOTAL (PAPER BILLS):

Section

COINS:
(Please roll coins and put leftover coins in sealed envelope, labeled with the proper amount.)

NUMBER OF COINS:
$0.01

TOTAL AMOUNT:
$

$0.05

$0.10

$0.25

$0.50

$1.00

TOTAL (COINS):

GRAND TOTAL FOR DEPOSIT:

THE ABOVE AMOUNTS HAVE BEEN COUNTED, RECONCILED AND VERIFIED BY THE FOLLOWING:

Print Name

Initial

Print Name

Initial

Please attach all adding machine tapes, bank receipts, etc. and give to the Treasurer.

Maximum upload size: 20.97MB

PTC Deposit Form

Repeater

Section

Section

Contact Information

Links

Customer Service