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RECEIVING REPORT / COLLECTION

Date: ____________________________
Name Amount Paid Date Collected
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
TOTAL

Remitted by: Received by: Checked by:

_________________________________ ___________________________ __________________________________

RECEIVING REPORT / COLLECTION


Date: ____________________________
Name Amount Paid Date Collected
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
TOTAL

Remitted by: Received by: Checked by:

_________________________________ ___________________________ __________________________________

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