LSHS Music Parents Association - Monetary Receipts

Date: ____/_____/_____
Event/Function: _______________________________________________________
Funds Given To Treasurer By: ____________________________________________
CASH
Bills/Coins
100s

X100 =

Totals

50s

X50 =

20s

X20 =

10s

X10 =

5s

X5 =

1s

X1 =

Coins Total
Total of Bills & Coins

CHECKS (please record each check # and amount of check if needed, write additional checks on back of
form)
Check
#

Check
Amount

Check #

Check
Amount

Check
#

Checks Total (include amount from back if appropriate)

Check Amount

_______________________

TOTAL of Cash and Checks Given to Treasurer __________________________________

(This section for Treasurer Use Only)
Date Deposited:
Account Deposited To:

Date Funds Received by Treasurer:

Check #

Check
Amount