Entry ID: 9223
Date: May 13, 2024 at 9:20 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: 1050.00
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: 1215
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: 425
Pay Station #2 Acceptor Over/Under/Correct: Over $20 in 20s
Pay Station #2 Dispenser Receipt: 
Pay Station #2 Ones Dispenser Money Counted: 100
Pay Station #2 Fives Dispenser Money Counted: 1290
Pay Station #2 Dispenser Over/Under/Correct: 0
How much money was taken from the acceptor to replenish the change dispenser: 95
Cash Drawer
How Much Is Left From Drawer: 180
(If Below Starting Cash) How Much Is Needed To Replenish: 120
(If Above Starting Cash) How Much Is Needed To Deposit: 0
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: 1280
Take a Picture of The Barcode On The Deposit Bag: 
Type In The Number of The Barcode On The Deposit Bag: 2808186
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: