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Walnut Acres PFC Deposit Form
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(Submit to Financial Secretary - Brian Caughell)
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Date:
11/8/25
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Total of A.
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A.
Checks:
Number of Checks $ -
Attach Excel spreadsheet -
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B.Cash:
(Check Detail tab)
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$$QuantitySubtotal
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1's
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5’s
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10’s
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20’s15
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50’s
Total of b:
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100’s $ -
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C.
Coins:
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$$QuantitySubtotal
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.01's
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.05’s
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.10’s
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.25’s
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.50’s
Total of c:
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1.0’s $ -
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Total of a + b + c:
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PFC Committee: $ -
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Comm. Chairperson:
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Names of Two People Who Counted Cash
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1. _________________________________ 2. ________________________________
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***Deposits with cash must be handed to Financial Secretary.
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Check One
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Person Turning Over Monies (Print):
Cash
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Financial Secretary Signature
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Phone Number:
OR
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NoIF NO CASH:
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Signature:
Cash
May be left in PFC folder
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