DAILY CASH COUNT FORM Beginning Cash Balance: Ending Cash Balance: Date: Pennies Date: Nickels Time: Dimes Nickels Time: Quarters Receipt #: Pennies Dimes Quarters Receipt #: Ones Verified: Fives Ones Verified: Fives Tens Tens Twenties Twenties Fifties Total Hundreds Total Ending Cash: Plus Checks: Total Credit Card Purchases: Less Total Beginning Cash: Total Credit Card Refunds: Total Deposit: Total Credit Card Deposit: Cash Receipt Book Total: Date: Time: Supervisor Signature:
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