Student Activity Deposits Form.xlsx

	A	B	D	E	G	H
1	MONTPELIER ROXBURY SCHOOL DISTRICT
2	Student Activity - Deposits
3
4	Circle one:	MHS MSMS UES
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6	Student Activity Name:				Number:
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9	Deposits
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11	Bills	Amount	Coin	Amount	Check(s)	Amount
12	$100		Silver Dollar		Total in Checks
13	$50		Quarter
14	$20		Dime
15	$10		Nickel
16	$5		Penny
17	$2		Total in Coins
18	$1
19	Total in Bills
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21
22	Bill Total
23	Coin Total
24	Check Total		* Please provide a photocopy of all checks that are submitted
25	Total Deposit
26
27	Submitted By:
28	Date:
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30	Notes:
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34	For Business Office Use
35
36	Verified by:
37	Date:
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