Entry ID: 3069
Date: February 25, 2024 at 5:23 pm
District: Southern Indiana
Wash Site: Seymour-IN
Employee #1: Cat Kick
Employee #2: Dylan Brooks
Pay Stations
Take a picture of pay station #1 Acceptor receipt: 
Pay Station #1 Acceptor Money Counted: 5200
Pay Station #1 Acceptor Over/Under/Correct: Over 20
Pay Station #1 Dispenser Receipt: 
Pay Station #1 Ones Dispenser Money Counted: 85
Pay Station #1 Fives Dispenser Money Counted: 710
Pay Station #1 Dispenser Over/Under/Correct: Over 20
Check here ONLY if you do not have Pay Station #2:
Pay Station #2 Acceptor Receipt: 
Pay Station #2 Acceptor Money Counted: 7242
Pay Station #2 Acceptor Over/Under/Correct: Na
Pay Station #2 Dispenser Receipt: 
Pay Station #2 Ones Dispenser Money Counted: 92
Pay Station #2 Fives Dispenser Money Counted: 420
Pay Station #2 Dispenser Over/Under/Correct: Na
How much money was taken from the acceptor to replenish the change dispenser: 1488
Cash Drawer
How Much Is Left From Drawer: 500
(If Below Starting Cash) How Much Is Needed To Replenish: Na
(If Above Starting Cash) How Much Is Needed To Deposit: Na
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: 11,404
Take a Picture of The Barcode On The Deposit Bag: 
Type In The Number of The Barcode On The Deposit Bag: 2808200
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: