Kerby PTO Deposit Request

This form is to be used as a request for deposit for the Kerby PTO. Please complete the form, attach all checks/cash, and clearly show the total amount. Please make sure to put in a sealed envelope and clearly mark: ATTN: Kerby PTO Treasurer and deliver to the School Office or directly to the Treasurer.

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Requester Name *
Amount *
Requester Date *
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YYYY
Event Date *
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DD
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YYYY
Committee / Event Name *
Description of Deposit *
Deposit Details:

Cash:
Please provide breakdown of cash deposited. Example: 5 $100s, 5 $20s, totaling $600.

Check:
Provide check #, amount

Paypal: 
provide amount
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