Pumpkin Delight Elementary School

PTA Funds - Received Form

Chairperson: / Today's Date: ______
Event Name: / Event Date: ______

COINS

Pennies / x / $ / 0.01 / =
Nickels / x / $ / 0.05 / =
Dimes / x / $ / 0.10 / =
Quarters / x / $ / 0.25 / =
Other / x / =
TOTAL COINS: $
BILLS
Ones / x / $ / 1.00 / =
Fives / x / $ / 5.00 / =
Tens / x / $ / 10.00 / =
Twenties / x / $ / 20.00 / =
Other / x / =

TOTAL BILLS: $

CHECKS

CHECKS (attach check detail form)
CHECKS QTY: / TOTAL CHECKS: $
(Add Total Coins + Total Bills + Total Checks) / TOTAL RECEIVED: / $
LESS CASH BOX: / -
TOTAL EVENT REVENUE: / $

Money should be verify by two PTA members. This form should be return with the money to the PTA Treasurer

Name: ______

Submitted by (Print Name) signature

Name:

Confirmed by (Print Name) signature

Treasurer's signature Date deposit: ______

Funds Received Form 2016-2017 Page 1 of 2

PUMPKIN DELIGHT PTA - CHECK DETAIL FORM
Name:
Event/ Fundraiser: / Today's Date: ______
Check # / Name (optional) / Amount / Note (optional)

1

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20

TOTAL CHECKS: $ (add to first page "Total Checks")

Funds Received Form 2016-2017 Page 2 of 2