Offering Count
Church Name
Date
*
/
Day
/
Month
Year
Date
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Notes
Add the number of notes, not the value
No. of $100 Notes
*
No. of $50 Notes
*
No. of $20 Notes
*
No. of $10 Notes
*
No. of $5 Notes
*
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Coins
Add the number of coins, not the value
No. of $2 Coins
*
No. of $1 Coins
*
No. of $0.50 Coins
*
No. of $0.20 Coins
*
No. of $0.10 Coins
*
No. of $0.05 Coins
*
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Summary
Total of $100
Total of $50
Total of $20
Total of $10
Total of $5
Total Value of Notes
Total of $2
Total of $1
Total of $0.50
Total of $0.20
Total of $0.10
Total of $0.05
Total Value of Coins
Total Cash Amount
Receipt #
*
Headcount
*
Name
*
First Name
Last Name
Signature
*
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Name
*
First Name
Last Name
Signature
*
Submit
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