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PTA
Van Wyck Junior High School
6 Hillside Lake Drive, Wappingers Falls, NY 12590
SPLIT DEPOSIT RECEIPT
(ALLOCATE TO MULTIPLE BUDGET CATEGORIES)
Contact: ______________________________ Phone: ____________________
Request Date: ______________
Deposit Date: ______________ Total Deposit Amount: _________________
$ Amount Applied to Budget Category:
| APPAREL | $ |
| BOX TOPS | $ |
| FALL BOOKFAIR | $ |
| SPRING BOOKFAIR | $ |
| MEMBERSHIP | $ |
| FALL FUNDRAISER | $ |
| SCHOOL PICTURES | $ |
| SCHOOL STORE | $ |
| YEARBOOK | $ |
| ARTS ENRICHMENT | $ |
| 8 GRADE CLASSTRIP (DC) | $ |
| 8 GRADE SEMIFORMAL | $ |
| OTHER | $ |
PTA
Van Wyck Junior High School
6 Hillside Lake Drive, Wappingers Falls, NY 12590
DEPOSIT RECEIPT FORM
Date: __________________ Description/Budget Category: ______________________________
Contact: _________________________________________ Phone: _______________________
CASH COUNT
| Number of Bills __________ x $100.00 = _____________ __________ x $50.00 = _____________ __________ x $20.00 =______________ __________ x $10.00 =______________ __________ x $5.00 = ______________ __________ x $1.00 = ______________ TOTAL BILLS: = ______________ |
Number of Coins |
NUMBER OF CHECKS: _____________
(Attach spreadsheet if more than 5 checks include check # and amount)
TOTAL CASH (BILLS + COIN): $ _____________
TOTAL CHECKS: $ _____________
TOTAL AMOUNT RECEIVED FOR DEPOSIT: $ _____________
VERIFIED BY:
SIGNATURE AND PRINTED NAME
SIGNATURE AND PRINTED NAME