Summary of Deposit
Associated Students of Cerritos College
Date: ____________
Account Name: ___________________________ Account Number: __________________
Advisor of Group: ___________________________________ extension: ___________
Name Of Depositor: ___________________________
Money was collected from (ie: bake sale, TV taping) _______________________________
_________________________________________________________________________
Money will be used for: ______________________________________________________
__________________________________________________________________________
Currency Coin Checks
____ 100 $ _____ ___ Silver Dollars $_______ # _______ $________
____ 50 $ _____ ___ Halves $_______ # _______ $________
____ 20 $ _____ ___ Quarters $_______ # _______ $ ________
____ 10 $ _____ ___ Dimes $ _______ # _______ $ ________
____ 5 $ _____ ___ Nickels $ _______ # _______ $ ________
____ 2 $ _____ ___ Pennies $ _______ # _______ $ ________
____ 1 $ _____
Total Currency: $ ___________ _
Total Coins: $_____________
Total Checks: $ _____________
Grand Total of Deposit: $ _____________
Signature of Depositor: ______________________________ Title: _____________________
1 July 2004 SA/HB
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