Monroe Elementary PTO!
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Event:!
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Cash Box Request
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Date Needed: !________________________________________________________________!
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Chairperson: ! ________________________________________________________________!
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Breakdown:!
Number!
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Dollars!
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_________ Tens!
x $10!
=! $_______________!
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Total Amount:!
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_________ Fives!
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_________ Ones!
x $5!
=!
$_______________!
x $1!
=!
$_______________!
_________ Rolls of Quarters! x $10!
=!
$_______________!
_________ Rolls of Dimes!
x $5!
=!
$_______________!
_________ Rolls of Nickels!
x $2!
=!
$_______________!
_________ Rolls of Pennies!
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x $0.50! =!
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$_______________!
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$_______________!
For Treasurer’s Use Only!
Category: ______________________________________________________________________!
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Date: !__________________________________________________________________________