N. A. CALDERON AND CO.

, CPAs
Certified Public Accountants

CASH COUNT SHEET

Client :
Fund Name / Number :
Balance Sheet Date :
General Ledger Balance :
(a.m.)
Made in the presence of _____________________________ at ___________ (p.m.) Date: / /

Bundles Loose
Amount per Total bundled Total amount
Quantity Quantity Total
Currency bundle amount
1000
500
200
100
50
20
10
Currency Total (a)

Wraps Loose
Amount per Total wrapped Total amount
Quantity Quantity Total
Coins wrap amount
10.00
5.00
1.00
0.25
0.10
0.05
0.01
Coin Total (b)

Total Cash Count ( a + b )

Add: Cash items (c) {See attached schedules if necessary}
Checks
Advances to Employees (Vales)
Unliquidated Expense Vouchers
Total Cash items per count
Less: Cash Collections
(OR#_______ to _______)

Total of Fund per Count ( a + b + c )

Total of Fund per Books
Overage / (Shortage)

If more space is needed, use another sheet or additional list and attach. Items must be sufficiently described to identify. Complete before
having acknowledgment signed.

AC K N OWLE D G M E NT
The cash count recorded above and upon any attached sheets is correct and represents all funds (cash and cash
items) in my custody belonging to ___________________________________.

This count was made in my presence. Return of all cash and cash items listed above and upon any attached sheets is
hereby acknowledged.

Cash Count by Custodian / Position

Verified by Supervisor / Position

Auditor:

Date:

mcj.wp.ccsgen-rev1'06
 N. A. CALDERON AND CO., CPAs
Certified Public Accountants

PETTY CASH EXPENSES

Client :
Balance Sheet Date :
General Ledger Balance :
Actual Cash Counted :

Tick as appropriate.
Date Payee PCV No. Particulars Supporting Documents Amount 1 2 3

Total Expenses P
Less:
Fund GL balance P
Actual cash on hand
Variance P

Legend:
1 Properly Authorized vouchers (PLEASE INDICATE THE PORTIONS UNSIGNED for your reference)
2 Supporting documents addressed to the Client Company
3 Vouchers stamped paid

Auditor:

Date:

mcj.wp.pces-rev1'06