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SAMPLE

Practice Resource Institute Administrative Form


Page 1 of 1

RECEIPT VOUCHER

Client or Related Third Party Check No. __________ Cash ____


__________

Date

Received from ______________________________________________________


Apply to _______________________________ _________________________
Client
Matter
Trust
____/ Account

Fee $ ________
Cost $ ________

Firm
____/ Account

Fee $ ________
Cost $ ________

____________________________________
Signature

Bkkprs
initials

Date
Received

Date
Deposited

Date
Posted

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