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Date: ______________

Date: ______________

Cash:

___________

Cash:

___________

Checks:

___________

Checks:

___________

Deposit SUBTOTAL: ___________

Deposit SUBTOTAL: ___________

Visa/MC/Disc/AmEx: ___________

Visa/MC/Disc/AmEx: ___________

Care Credit:

___________

Care Credit:

___________

TOTAL:

___________

TOTAL:

___________

Computer TOTAL:

___________

Computer TOTAL:

___________

Date: ______________

Date: ______________

Cash:

___________

Cash:

___________

Checks:

___________

Checks:

___________

Deposit SUBTOTAL: ___________

Deposit SUBTOTAL: ___________

Visa/MC/Disc/AmEx: ___________

Visa/MC/Disc/AmEx: ___________

Care Credit:

___________

Care Credit:

___________

TOTAL:

___________

TOTAL:

___________

Computer TOTAL:

___________

Computer TOTAL:

___________

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