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Deposit Back Up _Legal_ - images.pcmac.org images02

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					                                                  ORCUTT UNION SCHOOL DISTRICT
                                                                  INTRA DISTRICT BANK DEPOSIT



                                              AUDIT REQUIREMENT
                        REQUIRED BACK-UP INFORMATION MUST BE ATTACHED TO THIS FORM.
                    (Back-up information examples: tally sheets, class roster noting who purchased t-shirts, etc.)


 DATE                                                             SCHOOL SITE

 DEPOSIT DESCRIPTION

 BUDGET CODE

                                                        CHECKS
 Group checks by amount and include below.
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
            x        =        $0.00                                          x          =     $0.00
                                                              $0.00                   TOTAL CHECKS                       $0.00
                                                $0.00
                                                   CURRENCY
       $1.00        x              =            $0.00        $20.00 x                   =   $0.00
       $2.00        x              =            $0.00        $50.00 x                   =   $0.00
       $5.00        x              =            $0.00       $100.00 x                   =   $0.00
      $10.00        x              =            $0.00                                       $0.00
                                                $0.00                             TOTAL CURRENCY                         $0.00
        COIN - WRAPPED (ROLLS)                                          COIN - UNWRAPPED
                         NO. OF                                       $0.01 x       =      $0.00
                         ROLLS                                        $0.05 x       =      $0.00
        $0.01       x              =            $0.00                 $0.10 x       =      $0.00
        $0.05       x              =            $0.00                 $0.25 x       =      $0.00
        $0.10       x              =            $0.00                 $0.50 x       =      $0.00
        $0.25       x              =            $0.00                 $1.00 x       =      $0.00
           $0.01         $ 0.50                 $0.00                          ##### TOTAL COIN                          $0.00
           $0.05         $ 2.00
           $0.10         $ 5.00                                               TOTAL DEPOSIT                              0.00
           $0.25         $   10
 Submitted by:                                                                          Site Employee (ONLY)
 Received by:                                                                           District Office Staff
C:\Docstoc\Working\pdf\0e691c2c-e44a-4baf-bb31-dd3a7be35cdd.xls                                                      REVISED 5-18-09

				
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