Cash Count
Cash Count
Cash Count
TO WBS WBS
Prior Years'
MM/DD/YY
NOTES:
FRACTIONAL DENOMINATIONS:
P 0.50
0.25
0.10
0.05
0.01
I
by __________________________________________________________________, representative of Restituto R. A
on _____________________________________________, 19_____, from _________ to _______ M. and was return
There are no other funds in my possession for which I am accountable to ___________________________
____________________________ or funds left in my custody by other parties except as noted below.
Other funds: (Simultaneously controlled or counted)
Name Amount Custodian:
Company: Trans Orient Heavy Equipment Name of Fund
FRACTIONAL DENOMINATIONS:
P 0.50
0.25
0.10
0.05
0.01
I
by __________________________________________________________________, representative of Restituto R. A
on _____________________________________________, 19_____, from _________ to _______ M. and was return
There are no other funds in my possession for which I am accountable to ___________________________
____________________________ or funds left in my custody by other parties except as noted below.
Other funds: (Simultaneously controlled or counted)
Name Amount Custodian:
CPA Form 10-02 (5-96)
Quantity Amount TO
1.47 P
17
A-1-1 P 202
146
- P
(Signature)
Cynthia Payumo
(Name in Print)
Quantity Amount TO
3P 300
5 100
9 90
43 215
90 90
P
8P 4.00
3 0.75
2 0.20
1 0.05
P 252
138
- P
(Signature)
Cynthia Payumo
(Name in Print)
10-02 (5-96)
TOTAL
147
17.00
164.00
-
348.00
512.00
500.00
12.00
Cash Count Date Jan. 6, 2023
TOTAL
795
5.00
800.00
-
390.00
1,190.00
1,000.00
190.00
Schedule of Disbursement not yet reimbursed
Date
Schedule of Checks
A-1-1
I
by __________________________________________________________________, representative of Restituto R. A
on _____________________________________________, 19_____, from _________ to _______ M. and was return
There are no other funds in my possession for which I am accountable to ___________________________
____________________________ or funds left in my custody by other parties except as noted below.
Other funds: (Simultaneously controlled or counted)
Name Amount Custodian:
CPA Form 10-02 (5-96)
- P
(Signature)
Cynthia Payumo
(Name in Print)
10-02 (5-96)
TOTAL
-
316.00
(316.00)
Cash Collection