JJF-F

SCHOOL NAME

School Activity Fund

Cash Receipts Form

Date: ________________

Fund/Account: ___________________________

Amount: ________________________________

Event: _____________________________________

Description of Item Sold Price

Quantity (or source of receipts) Each Total

Total

Total Cash $___________

Total Checks $___________

Total Receipts $___________

Submitted by: ____________________________________ Date: _______________

*Amount verified/accepted by: __________________________ Date: ______________

Principal: __________________________________________ Date: ______________

*Your signature confirms that you have verified the amount of cash and checks received.

SCHOOL NAME

School Activity Fund

Cash Disbursements Form

Date: _________ CHECK NO. ________

Fund/Account: _______________________ AMOUNT PD: $_________

Amount: __________________________ DATE OF CK: _________

Event: ________________________________________

*INVOICE OR RECEIPT MUST ACCOMPANY REQUEST

PAYEE INFORMATION:

Name: ______________________________________________

Street: ______________________________________________

City, State, Zip: ________________________________________

Explanation for check request:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Check Preference (Please check one)

Mail to above address _______ OR Place in my mailbox _________

APPROVAL SIGNATURES:

Individual making request: __________________________ Date: _____________

Principal: ________________________________________ Date: _____________

*A W-9 form must accompany this form for any independent contractors or

non-incorporated businesses.

REQUEST FOR CHECK ADVANCE FROM STUDENT ACTIVITY FUND

DATE OF REQUEST: _____________________

REQUESTED BY: ____________________________________________________

PAYEE NAME: ____________________________________________________

PAYEE ADDRESS: ____________________________________________________

____________________________________________________

ESTIMATED AMOUNT OF CHECK: $________________

PLEASE EXPLAIN HOW THE ESTIMATED AMOUNT WAS CALCULATED:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

PLEASE PROVIDE AN EXPLANATION OF WHY THE EXACT DOLLAR AMOUNT IS NOT

AVAILABLE:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

I certify this information to be true and to the best of my knowledge. I agree to provide an

itemized receipt/invoice that substantiates the amount of the check within three (3) school days.

____________________________________________ __________________

Signature of individual requesting check Date

____________________________________________ __________________

Principal Approval Date



SMITHFIELD HIGH SCHOOL

CLASS OF 20xx

This document will acknowledge that all class officers of the Class of 20XX have been

informed of the School Department’s policy for unexpended balances of a graduating class.

The policy is:

By September 1 following the graduation of the class, any and all funds not expended

will be transferred by the Principal from the class account to the administrative account and will

be disbursed by the Principal for school purposes which benefit the student body.

Every effort will be made to expend all funds prior to graduation. Signatures below

indicate an understanding of this policy.

Class Advisor Name: _________________ Signature: __________________ Date: _______

Class Officer Name: __________________ Signature: __________________ Date: _______

Class Officer Name: __________________ Signature: __________________ Date: _______

Class Officer Name: __________________ Signature: __________________ Date: _______

Class Officer Name: __________________ Signature: __________________ Date: _______

This document is to be presented to the Principal by March 1 of the senior year. A

signed copy of the document will be sent to the Business Office of the Smithfield School

Department.