Fillable Printable Sample Itemized Receipt Form
Fillable Printable Sample Itemized Receipt Form
Sample Itemized Receipt Form
VRHS Athletic Booster Club
Itemized Receipt Form
(To be used when giving funds to Treasurer)
Event Date
Starting Cash Box Amount $ ___________ Ending Cash Box Amount $
First Counter Signature
Second Counter Signature
(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 $
Person Completing Form/First Counter’s Signature & Phone # _______________________________
Second Counter’s Signature Date
Received by Treasurer Date
(When making the deposit at the bank, take both the white & yellow copy of the deposit slip to be validated. Turn in the yellow validated
deposit slip and a copy of the itemized Receipt Form to the Athletic Booster Club Mail Box at the front of the school. Deposits must be
made within 2 days of the event. )
