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Van Wyck Junior High School

6 Hillside Lake Road / Wappingers Falls, NY 12590 / PH: 845.227.1700

Forms

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
__________ x $1.00 = _______________
__________ x $0.50 = _______________
__________ x $0.25 = _______________
__________ x $0.10 = _______________
__________ x $0.05 = _______________
__________ x $0.01 = _______________
TOTAL 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