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Fundraising Income Transaction Form
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Always use for fundraisers, regardless of other income transaction forms used.
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Directions: Complete this form for each fundraiser or after each shift of a fundraiser if multiple days.
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Date: __________________
Fundraising Event: _______________________________________
Clovermart at State Fair
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BEGINNING CASH:
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20's
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10's
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5's
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1's
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Quarters
Verification Signature #1
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Dimes
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Nickels
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Pennies
Verification Signature #2
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Total$0.00
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TOTAL DAILY GROSS RECEIPTS:
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Currency
Coupons or Certificates
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100's
(Ag Star, Thrivent, 4-H Sponsored)
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50's
(NOT included in Deposit)
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20'sSponsor
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10'sSponsor
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5'sSponsor
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1'sSubtotal$0.00
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Dollar coins
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Quarters
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Dimes
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Nickels
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Pennies
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Currency Subtotal$0.00
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Checks Total*Attach copy of bank deposit slip showing individual checks referenced on this form or list the checks on the back of this form. Also attach bank receipt.
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Credit Card Receipts
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TOTAL GROSS RECEIPTS$0.00
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- Starting cash for next day
Verification Signature #1
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AMOUNT FOR DEPOSIT TO BANK:
$0.00
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Verification Signature #2
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**For County fundraisers, turn this form in to the Extension Office. This form will be filed with the income transaction forms.
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**For Club fundraisers, turn this form in to the Club Treasurer.
Updated May 2020
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