Please fill out this form 10 days prior to the event and submit to the PTA mail box or email
REQUEST FOR CASH BOX START-UP FUNDS
CENTRAL SCHOOL PTA
Date(s) of the Event: _________________
Activity or Event: _____________________
Amount Requested: _____________________
Denominations needed
$______________ in pennies $___________ in dimes
$______________ in nickels $___________ in quarters
Total $ in change = _________________
$____________ in singles $___________ in tens
$____________ in fives $___________ in twenties
Total $ in bills = _________________
Chairperson Signature ____________________________
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FUNDS COLLECTED
TALLY SHEET
CENTRAL SCHOOL PTA Date: _________
CASH BOX
AMOUNT___________(from Cash Box Request Form)
CASH RECEIVED
Total Number of Coin/Currency denomination Total
__________ pennies = $________
__________ nickels = $________
__________ dimes = $________
__________ quarters = $________
__________ dollars = $________
__________ fives = $________
__________ tens = $________
__________ twenties = $________
__________ fifties = $________
Total Cash Received = $________
Checks Received
# of checks Amt. of check equals Total Cks Received
__________ @__________ = $________
__________ @__________ = $________
Total of Cash + Checks Received = $__________
*Expenses $__________
*You must note any expenses paid out and to whom. Attach receipt.
Committee Chairperson Signature
_____________________________________
Treasurer Signature
______________________________________