MELTO FORM NO.

3
CASH PRODUCTION AND CASH COUNT SHEET
Province, City, Municipality of _____________________________

As of _____________________

Name of Accountable Person:_________________________________

Position/Designation: ____________________________________

PART I

Amount of Cash on Hand: Php__________________________

DENOMINATION PIECES AMOUNT

Php 1,000.00
500.00
200.00
100.00
50.00
20.00
10.00
5.00
1.00
Centavo 0.25
0.10
0.05
TOTAL (Php)

PRODUCED DISALLOWED ALLOWED

TOTAL (Php)

PART II

BANK NAME CHECK # PRODUCED DISALLOWED ALLOWED

TOTAL

Paid Vouchers/Payrolls & Other

Cash Items
TOTAL
TOTAL CURRENCY AND OTHER

1|1MELTO FORM NO. 3 CASH COUNT SHEET

 MELTO FORM NO. 3
CASH PRODUCTION AND CASH COUNT SHEET
CASH ITEMS COUNTED

2|1MELTO FORM NO. 3 CASH COUNT SHEET