RECEIPTS
MONTH OF ______________
TOTAL
AMOUNT
RECEIPTS ISSUED RECEIVED DEPOSITS INITIATION FEES DUES REINSTATEMENT FEES WORK PERMIT FEES ASSOCIATE MEMBERSHIP MISCELLANEOUS
DATE FROM NO. THROUGH NO. No. @ No. @ AMOUNT NO. OF MONTHS AMOUNT NO. AMOUNT NO. AMOUNT NO. AMOUNT AMOUNT EXPLANATION
$ - $ - $ - $ - $ - $ - $ - $ - $ -
TOTALS $ - $ - $ - $ - $ - $ - $ - $ - $ -
DISBURSEMENTS
PAID TO FOR AMOUNT
CHECK (Describe Purpose of Payment)
DATE NUMBER
$ -
Bank Service Charge (if any) for this month
Total $ -
NONCHARGEABLE DISBURSEMENTS
PAID TO FOR AMOUNT
CHECK (Describe Purpose of Payment)
DATE NUMBER
$ -
Bank Service Charge (if any) for this month
Total $ -
MONTH OF ______________
CHECKING ACCOUNT RECAPITULATION
Balance in checking account(s) last day of last month $ -
Plus total receipts during this month
Total $ -
Less total disbursements during this month
Balance in checking account(s) last day of this month $ -
RECONCILEMENT OF CHECKING ACCOUNT(S)
Balance according to bank statement(s) $ -
Plus deposits for month not shown on Bank Statement(s) $ -
Less total amount of checks outstanding (see: outstanding) $ -
Balance in checking account(s) last day of this month $ -
TOTAL ASSETS RECAPITULATION LAST DAY OF THIS MONTH
Checking account(s) $ -
Name of Bank:
Name of Bank:
Name of Bank:
Name of Bank:
Name of Bank:
Savings account(s): $ -
Name of Bank:
Name of Bank:
Name of Bank:
Name of Bank:
Name of Bank:
Petty Cash $ -
Securities, Bonds - itemize $ -
Defense or Strike Fund $ -
Welfare Funds $ -
Total assets last day of this month $ -
OUTSTANDING CHECKS
PAID TO AMOUNT
CHECK
DATE NUMBER
$ -
TOTAL OUTSTANDING $ -