POPLARVILLE SPECIAL MUNICIPAL SEPARATE SCHOOL DISTRICT

SCHOOL EVENT RECEIPT FORM

DATE OF EVENT: GATE: HOME

EVENT: VISITOR GATE: YES OR NO ? VISITOR

POPLARVILLE LOWER ELEMENTARY POPLARVILLE HIGH SCHOOL

POPLARVILLE UPPER ELEMENTARY CAREER DEVELOPMENT CENTER
MIDDLE SCHOOL OF POPLARVILLE CENTRAL OFFICE

CHANGE CASH DOLLAR AMOUNT: $

CHANGE CASH AND TICKETS DELIVERED TO SCHOOL PERSONNEL NAME(S):

DATE CHANGE CASH DELIVERED: SIGNATURE:

SIGNATURE:

TICKETS CHECKED OUT: NUMBER FROM NUMBER TO

TICKETS SOLD: NUMBER FROM NUMBER TO

TICKETS RETURNED: NUMBER FROM NUMBER TO

NUMBER OF TICKETS SOLD: PRICE PER TICKET: $

(ENDING TICKET NUMBER SOLD MINUS BEGINNING TICKET NUMBER SOLD PLUS 1)

TICKET SALES: $ NAME OF 1ST ATTENDANT:

(NUMBER OF TICKETS SOLD MULTIPLIED BY PRICE PER TICKET)
CHANGE CASH RETURNED: SIGNATURE:

TOTAL CASH RECEIVED: $ - NAME OF 2ND ATTENDANT:

DATE DEPOSITED AT BANK: SIGNATURE:

PERSONNEL MAKING DEPOSIT:

VERIFICATION: RECEIPT NUMBER DATED

IN THE AMOUNT OF $ ISSUED TO

BY (NAME) BY (SIGNATURE)

FOR CASH RECEIVED FROM SCHOOL ACTIVITY EVENT

I VERIFY THIS REPORT TO BE CORRECT:

PRINCIPAL'S (ADMINISTRATOR'S) SIGNATURE DATE