Entry ID: 5717
Date: April 2, 2024 at 10:33 am
District: Southern Indiana
Wash Site: North Vernon-IN
Employee #1: Elasha Kepple
Employee #2: Elasha Kepple
Pay Stations
Take a picture of pay station #1 Acceptor receipt: 
Pay Station #1 Acceptor Money Counted: 1270.00
Pay Station #1 Acceptor Over/Under/Correct: 0
Pay Station #1 Dispenser Receipt: 
Pay Station #1 Ones Dispenser Money Counted: 100
Pay Station #1 Fives Dispenser Money Counted: 1080
Pay Station #1 Dispenser Over/Under/Correct: 0
Check here ONLY if you do not have Pay Station #2:
Pay Station #2 Acceptor Receipt: 
Pay Station #2 Acceptor Money Counted: 415
Pay Station #2 Acceptor Over/Under/Correct: 0
Pay Station #2 Dispenser Receipt: 
Pay Station #2 Ones Dispenser Money Counted: 100
Pay Station #2 Fives Dispenser Money Counted: 1250
Pay Station #2 Dispenser Over/Under/Correct: 0
How much money was taken from the acceptor to replenish the change dispenser: 140
Cash Drawer
How Much Is Left From Drawer: 260
(If Below Starting Cash) How Much Is Needed To Replenish: 40
(If Above Starting Cash) How Much Is Needed To Deposit:
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: 1375
Take a Picture of The Barcode On The Deposit Bag: 
Type In The Number of The Barcode On The Deposit Bag: 2808193
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: