AQUINO COMPANY

CASH COUNT SHEET

Department: Petty Cash Custodian:

Department Location: Account #:
Business Administrator: Total Authorized Amt:

Bills
Value Quantity Amount
1000
500
200
100
50
20

Total Bills

1. Total Cash (bills and coins)

2. Total Paid Vouchers (list attached including date,payee,amount)

3. Total Cash and Vouchers

4. Less Total Authorized Amount

5. Variance

The above listed cash totaling _________ was returned to me intact after being counted by the reviewer noted below:
 AQUINO COMPANY
CASH COUNT SHEET

Date:
Time:
Reviewer:

Coins
Value Quantity Amount
10
5
1
0.50
0.25
0.10

Total Coins

Vouchers

Over (Short)

by the reviewer noted below:

Petty Cash Custodian Signature Date

Reviewer Signature Date