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Exhibit 6-2

CASH COUNT SHEET


ORGANIZATION____________________________ DATE OF COUNT________________
Petty Cash
Currency

__________________Change Fund
_____

$ 1.00 = ___________

_____

5.00 = ___________

_____

10.00 = ___________

_____

20.00 = ___________

_____

50.00 = ___________

_____

100.00 = ___________
Total Currency

Coin

_____

.01 = ___________

_____

.05 = ___________

_____

.10 = ___________

_____

.25 = ___________

_____

.50 = ___________

_____

1.00 = ___________
Total Coins

Other____________________

$ ______________

$ _____________

Checks:

$ _____________

Petty Cash Disbursement Vouchers:

$ _____________

(with attached paid receipts/invoices)

Other:

$ _____________

TOTAL CASH AND VOUCHERS:

$ _____________

TOTAL TO ACCOUNT FOR:

$ _____________

OVERAGE OR (SHORTAGE):

$ _____________

First Person Making Count: ________________________________________________


(Signature)

Second Person Making Count: ______________________________________________


(Signature)

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