HomeMy WebLinkAboutOCDSB 483 Deposit Envelope FormLOG #
Date:
Depositor's Name:
Name of Account/Category:
Event/Source of Funds:
Cash Cheques (if space insufficient, attach list)
Bills Surname Amount
x $ 5.00 = $
x $10.00 =
x $20.00 =
x $50.00 =
x $ =
A) Total Bills $
Rolled Coin
x 50 x $ 0.01 = $
x 40 x $ 0.05 =
x 50 x $ 0.10 =
x 40 x $ 0.25 =
x 25 x $ 1.00 =
x 25 x $ 2.00 =
B) Total Rolled Coin $
Loose Coin
x $ 0.01 = $
x $ 0.05 =
x $ 0.10 =
x $ 0.25 =
x $ 1.00 =
x $ 2.00 =
C) Total Loose Coin $ E) Total Cheques $
D) Total Cash (A + B + C) $ F) Total Deposit (D + E) $
Depositor's Signature:
To be completed by office only
G) Verified Amount (G must agree with F) $
(If it does not equal, depositor must sign off difference)
Office Staff's Signature:
OCDSB 483 Financial Services (January 2015)
DEPOSIT ENVELOPE