EDISON ASB DEPOSIT SLIP

CLUB NAME:

Account #

ACTIVITY:

COINS
NUMBER
$0.01
$0.05
$0.10
$0.25
$0.50
$1.00
TOTAL

AMOUNT

Bank

Check #

BILLS
NUMBER
$1.00
$2.00
$5.00
$10.00
$20.00
$50.00
$100.00
TOTAL

AMOUNT

Amount
TOTAL COINS:
TOTAL BILLS:
TOTAL CHECKS:
GRAND TOTAL:

(DEPOSITOR'S SIGNATURE)

(DATE)
TOTAL
(ASB DATA TECHNICIAN)

(DATE)
Supporting documentation must be included when this form is submitted with deposit, i.e.:
A copy of each receipt issued
Completed pre-numbered receipt book
Report of ticket sales form
Unused tickets returned
Completed Tally Sheet forms
Cash register tape

A copy of each receipt issued

Report of ticket sales form
Completed Tally Sheet forms

Completed pre-numbered receipt book

Unused tickets returned
Cash register tape