Entry ID: 1927
Date: February 8, 2024 at 6:52 am
District:
Wash Site:
Employee #1: Don Blair
Employee #2: Rusty Smith
Pay Stations
Take a picture of pay station #1 Acceptor receipt: 
Pay Station #1 Acceptor Money Counted: 4955.00
Pay Station #1 Acceptor Over/Under/Correct: Correct
Pay Station #1 Dispenser Receipt: 
Pay Station #1 Ones Dispenser Money Counted: 55.00
Pay Station #1 Fives Dispenser Money Counted: 530.00
Pay Station #1 Dispenser Over/Under/Correct: Correct
Check here ONLY if you do not have Pay Station #2: We do not have Pay Station #2.
Pay Station #2 Acceptor Receipt: 
Pay Station #2 Acceptor Money Counted: Na
Pay Station #2 Acceptor Over/Under/Correct: Na
Pay Station #2 Dispenser Receipt: 
Pay Station #2 Ones Dispenser Money Counted: Na
Pay Station #2 Fives Dispenser Money Counted: Na
Pay Station #2 Dispenser Over/Under/Correct: Na
How much money was taken from the acceptor to replenish the change dispenser: 335.00
Cash Drawer
How Much Is Left From Drawer: 290.00
(If Below Starting Cash) How Much Is Needed To Replenish: 10.00
(If Above Starting Cash) How Much Is Needed To Deposit: 4610.00
Deposit
Take a picture of the CHASE bank deposit slip before putting it into the deposit bag: 
How Much Money Is In The Deposit Bag: 4610.00
Take a Picture of The Barcode On The Deposit Bag: 
Type In The Number of The Barcode On The Deposit Bag: 2807405
Employee Signatures
Employee #1 sign stating you completed this to the best of your ability:
Employee #2 sign stating you completed this to the best of your ability: