ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
MTHS PTSA Deposit Form
2
3
4
5
 Complete this form in its entirety. Every deposit must be accompanied by this form.
6
7
Please send form to PTSA Treasurer
8
9
Brent Farmermthsptsatreasurer@gmail.com336-817-6995
10
11
Proceeds from:___________________________________________________________________________________________
12
13
Event Date: _______________________________________________________________________________________________
14
15
Person Responsible: ____________________________________________________________________________________
16
17
Date Remitted: ___________________________________________________________________________________________
18
19
Deposit Breakdown:
Signatures:
20
21
Cash$Counter #1:
22
23
Checks $
24
(# of checks: __________)
Counter #2:
25
26
Total$
27
Deposit must be counted & verified twice.
28
29
30
FOR TREASURER USE ONLY:
31
32
Receiving Signature: ___________________________________________________
33
34
Date Received: __________________
Amount Verified: $ _______________
35
36
Date Deposited: _________________
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100