Title Page
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Conducted on
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Prepared by
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Location
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Manager in charge
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Quarters
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Dimes
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Nickels
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Pennies
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Rolled Coins Sub total
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$01.00 bills
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$05.00 bills
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$10.00 bills
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$20.00 bills
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$50.00 bills
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$100.00 bills
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Currency Sub total
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Tills
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Grand Total