Colfax Spanish Academy PTO

Cash Box Request

Complete one form per cash box.

Your Name: Phone:

Project:

Date Submitted

Date Needed

Specific location for this change request (ex. Pizza Stand):

Change Requested:

$10 x ____ = _______________

$ 5 x ____ = _______________

$ 1 x ____ = _______________

.25 x ____ = _______________

.10 x ____ = _______________

.05 x ____ = _______________

.01 x ____ = _______________

Total for this box $_____________

Note: Use one copy of this form to record the total boxes set up for this event and to act as support for the bank withdrawal. Have each box verified by a volunteer before the event begins. At the end of the event, the remaining money should be recorded on a "Deposit Notice" form.

Approved by (PTO Officer):_______________________________ Date _____________

Verified by Event Volunteer:_______________________________ Date ____________- - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - - - - - - - -

For treasurer's use only

Account___________ Withdrawal # ___________ Date ___________ Logged ________