BOSWELL PUBLIC SCHOOL

ACTIVITY FUND

DEPOSIT SLIP

Account Number ________________________ Date ___________________

Account Name __________________________ Date ___________________

From the Sale of ___________________________

RECEIPT NUMBERS: FROM _________________ TO ____________________

Money Collected and Deposited:

Change:

Pennies $___________________

Nickels $___________________

Dimes $___________________

Quarters $___________________

Halves $___________________

TOTAL $_______________________

Bills/Cash:

Ones $___________________

Fives $___________________

Tens $___________________

Twenties $___________________

Fifties $___________________

Hundreds $___________________

SUBTOTAL $_______________________

Checks $_______________________

TOTAL DEPOSIT $_______________________

Deposit Made By: ______________________________________________________

Sponsor’s Signature

Deposit Received By: _____________________________________________________

Activity Fund Custodian’s Signature