Cash Reconciliation Form
Custodian
First Name
Last Name
Money Collected
Cash collected ($)
Checks collected ($)
Credit cards collected ($)
Coupons collected ($)
Total collected
Sales Recorded
Cash sales ($)
Check sales ($)
Credit card sales ($)
Coupon sales ($)
Total recorded
Difference
Cash difference
Checks difference
Credit cards difference
Coupons difference
Total difference
Reason for difference (If any)
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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