Cash and Check Receipt Form

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CASH/CHECK RECEIPT FORM

OUES – PTO

Date:_____________Name:________________________________Phone:_________________

Description:___________________________________________________________________

Project or Budget Category:_______________________________________________________

CASH Collected:

CASH QTY TOTAL

$20.00 ____ $____________

$10.00 ____ $____________

$ 5.00 ____ $____________

$ 1.00 ____ $____________

$ 0.25 ____ $____________

$ 0.10 ____ $____________

$ 0.05 ____ $____________

$ 0.01 ____ $____________

TOTAL CASH $____________

CHECKS Collected:

How many checks? ________

TOTAL CHECKS $____________

GRAND TOTAL $____________

Signature:___________________________________________________________________

PTO Treasurer’s Signature:_____________________________________________________

*PLEASE submit this form with all cash/checks collected to: Ellen Oberle, PTO
Treasurer, 616 Aberdeen Way, Southlake, TX 76092. Thank You!

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