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JEFFERSON COUNTY PUBLIC SCHOOLS
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MONTHLY REPORT VERIFICATION FORM - NO BANK SCHOOL
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MONTH ENDING (MM/DD/YYYY): LOCATION NUMBER:
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SCHOOL NAME:
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PART I: REPORTS TO SUBMIT TO INTERNAL AUDIT
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#YES INCLUDEDNONO INFOSCAN & EMAIL COMPLETED FORMS TO INTERNAL AUDIT BY THE 15th
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1 Monthly Report Verification Form - signed by Bookkeeper & Principal
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2 Did you have inventory during the month? (e.g. concessions, bookstore, spirit wear, vending, etc.)
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3 If # 2 is yes, attach a copy of the monthly inventory report
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4Copy of most recent credit card statement(s)
If available, month included:
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5Copy of credit card sign out/sign in log(s) that support the above listed credit card statement(s)
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PART II: VERIFICATION
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YESNON/AANSWER QUESTIONS BELOW - KEEP DOCUMENTS ON FILE AT SCHOOL SITE
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Did you open a new credit card account during the month?
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If yes, name of new credit card:
Date opened:
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Did you close a credit card account during the month?
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2If yes, name of closed card: Date closed:
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3 Did you consistently use credit card sign out/in logs for each card?
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4 Do you keep the credit card in a secured location when not in use?
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Does the school have credit cards that are used for Fund 22/MUNIS purchases that have not previously been reported to Internal Audit?
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5If yes, name of credit card(s):Republic
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6Have all donations or small grant funds* been reported to Resource Development? (*Funds for a specific purpose that require reporting to the donor.)
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7Close the month in EPES. Date closed:
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I certify that all information in the attached are accurate and complete to the best of my knowledge.
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Principal Signature Date
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Bookkeeper SignatureDate
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