administrative form 3504 administrative form 3504 …
Post on 04-Jan-2022
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ADMINISTRATIVE FORM 3504 ADMINISTRATIVE FORM 3504
STUDENT ACTIVITY FUNDS STUDENT ACTIVITY FUNDS
CASH COUNT SLIP CASH COUNT SLIP
Date Receipt # Date Receipt #
Account Account
Source description Source description
Currency # of items Currency # of items
100$ 100$
50$ 50$
20$ 20$
10$ 10$
5$ 5$
2$ 2$
1$ 1$
Deposited by Deposited byDate Date
Verified by Verified byDate Date
Extended amount Extended amount
Total currency Total currency
Signature Signature
Total receipts Total receipts
School name School name
Signature Signature
Total coin Total coin
Total checks Total checks
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