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Summary

CASH COUNT SUMMARY

Branch: Prince MCH Count Date: 02/22/2017

Custodian's Name: Rosenda Villamor Count Time: 9:44:00 AM

Funds Name Accountability Accounted (Short)

Master Change Fund (MCF) 55,000.00 53,000.00 -2,000.00

Petty Cash Fund (PCF) 55,000.00 53,000.00 -2,000.00

Bills Payment Change Fund (BPCF) 55,000.00 4,440.00 -50,560.00

Cashier Change Fund (CCF) 55,000.00 -3,440.00 -58,440.00

Total 220,000.00 107,000.00 -113,000.00

Conducted By: Acknowledged by:

SOM Cash Custodian

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Summary

/2017

00 AM

Over

ustodian

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MCF

CASH COUNT FORM

Branch: Prince MCH Count Date: 02/22/2017


Name of Fund: Master Change Fund (MCF) Count Time: 9:43:00 AM
Custodian's Name: Rosenda Villamor Conducted by: Shayne Enriquez

Currency Denomination Quantity Amount Total

BILLS 1000 3 PhP3,000.00


500 2 PhP1,000.00
200 PhP-
100 3 PhP300.00
50 17 PhP850.00
20 84 PhP1,680.00 PhP6,830.00

COINS 10 160 PhP1,600.00


5 5914 PhP29,570.00
1 15,000 PhP15,000.00
0.25 PhP-
0.10 PhP-
0.05 PhP-
0.01 PhP- PhP46,170.00

CHECK Check#: 283918949 PhP2,000.00

Total Bills, Coins and Check PhP55,000.00


ADD: Documents
Transmittal – Replenishment Form
Pending RFP – Unreplenished PHP-

Total MCF Accounted PhP53,000.00

Less: Total Accountability PHP55,000.00

VARIANCE: OVER_(SHORT) PhP(2,000.00)

Conducted by: Acknowledged by:


SOM Cash Custodian

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MCF

Input your data to this color

Procedures
1. Check the accountability form of custodian and input the amount in Total Accountability row.
2. Count bills and coins and input the result in quantity column. Include cheque if any
3. Add the documents (if any) for adjustment
a. Transmittal – Replenishment form already send to HO for replenishment, waiting for cheque.
b. Pending RFP – Issued if fund were borrowed in payment for 1000 above one time expenses
4. Check the Variance Short or Over and inform custodian for reconciliation
a. Shortages – Paid in cash by custodian, note only in the form with date and signed by custodian
b. Overages – Turnover to CSR for creation of CR
5. Print and signed the form

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MCF

que.
es

odian

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MCF

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PCF

CASH COUNT FORM

Branch: Prince MCH Count Date: 02/22/2017


Name of Fund: Petty Cash Fund (PCF) Count Time: 9:43:00 AM
Custodian's Name: Rosenda Villamor Conducted by: Shayne Enriquez

Currency Denomination Quantity Amount Total

BILLS 1000 3 PhP3,000.00


500 2 PhP1,000.00
200 PhP-
100 3 PhP300.00
50 17 PhP850.00
20 84 PhP1,680.00 PhP6,830.00

COINS 10 160 PhP1,600.00


5 5914 PhP29,570.00
1 15,000 PhP15,000.00
0.25 PhP-
0.10 PhP-
0.05 PhP-
0.01 PhP- PhP46,170.00

CHECK Check#: 283918949 PhP2,000.00

Total Bills, Coins and Check PhP55,000.00


ADD: PCF Documents
Transmittal – Replenishment Form
Pending PCV – Unreplenished PHP-

Total Petty Cash Fund Accounted PhP53,000.00

Less: Total Accountability PHP55,000.00

VARIANCE: OVER_(SHORT) PhP(2,000.00)

Conducted by: Acknowledged by:


SOM Cash Custodian

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PCF

Input your data to this color

Procedures
1. Check the accountability form of custodian and input the amount in Total Accountability row.
2. Count bills and coins and input the result in quantity column. Include cheque if any
3. Add the documents (if any) for adjustment
a. Transmittal – Replenishment form already send to HO for replenishment, waiting for cheque.
b. Pending PCV – Un liquidated by concerned employees or not yet transfer to replenishment form
4. Check the Variance Short or Over and inform custodian for reconciliation
a. Shortages – Paid in cash by custodian, note only in the form with date and signed by custodian
b. Overages – Turnover to CSR for creation of CR
5. Print and signed the form

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PCF

que.
nt form

odian

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PCF

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BPCF

CASH COUNT FORM

Branch: Prince MCH Count Date: 02/22/2017


Name of Fund: Bills Payment Change Fund (BPCF) Count Time: 9:43:00 AM
Custodian's Name: Rosenda Villamor Conducted by: Shayne Enriquez

Currency Denomination Quantity Amount Total

BILLS 1000 2 PhP2,000.00


500 0 PhP-
200 2 PhP400.00
100 0 PhP-
50 0 PhP-
20 2 PhP40.00 PhP2,440.00

COINS 10 0 PhP-
5 0 PhP-
1 0 PhP-
0.25 0 PhP-
0.10 0 PhP-
0.05 0 PhP-
0.01 0 PhP- PhP-

CHECK Check#: 283918949 if any PhP2,000.00

Total BPCF Accounted PhP4,440.00

Less: Total Accountability PHP55,000.00

VARIANCE: OVER_(SHORT) PhP(50,560.00)

Conducted by: Acknowledged by:


SOM Cash Custodian

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BPCF

PROCEDURES
1. Check the accountability form of custodian and input the amount in Total Accountability r
2. Count bills and coins and input the result below in pcs row.

3. Print and signed the form

CASH COUNT DETAILS


BILLS
Box # Name Descpt 1000 500 200 100 50
1 Jane Dela Curz Pcs 2
Amount 0 0 400 0 0
2 Pcs 2
Amount 2000 0 0 0 0

Don't Touch Anything


TOTAL PCS 2 0 2 0 0
TOTAL AMOUNT 2000 0 400 0 0

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BPCF

lity row.
Input on this color. Check also the cash count form for the data needed

COINS
20 10 5 1 0.25 0.1 0.05 0.01 Accounted Accountability Short/Over

400.00 1500 -1100


0 0 0 0 0 0 0 0
2
2,040.00 1500 540
40 0 0 0 0 0 0 0

2 0 0 0 0 0 0 0
2,440.00 3,000.00 -560.00
40 0 0 0 0 0 0 0

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CCF

CASH COUNT FORM

Branch: Prince MCH Count Date: 02/22/2017


Name of Fund: Cashier Change Fund (CCF) Count Time: 9:43:00 AM
Custodian's Name: Rosenda Villamor Conducted by: Shayne Enriquez

Currency Denomination Quantity Amount Total

BILLS 1000 PhP-


500 2 PhP1,000.00
200 2 PhP400.00
100 0 PhP-
50 0 PhP-
20 2 PhP40.00 PhP1,440.00

COINS 10 0 PhP-
5 0 PhP-
1 0 PhP-
0.25 0 PhP-
0.10 0 PhP-
0.05 0 PhP-
0.01 0 PhP- PhP-

CHECK Check#: 283918949 PhP2,000.00

Total CCF Accounted PhP3,440.00

Less: Total Accountability PHP55,000.00

VARIANCE: OVER_(SHORT) PhP(51,560.00)

Conducted by: Acknowledged by:


SOM Cash Custodian

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CCF

PROCEDURES
1. Check the accountability form of custodian and input the amount in Total Accountability r
2. Count bills and coins and input the result below in pcs row.

3. Print and signed the form

CASH COUNT DETAILS


BILLS
Buyot # Name Descpt 500 200 100 50 20
1 Jane Dela Curz Pcs 2
Amount 0 400 0 0 0
2 Pcs 2 2
Amount 1000 0 0 0 40
3 Pcs
Amount 0 0 0 0 0
4 Pcs
Amount 0 0 0 0 0
5 Pcs
Amount 0 0 0 0 0
6 Pcs
Amount 0 0 0 0 0
7 Pcs
Amount 0 0 0 0 0
8 Pcs
Amount 0 0 0 0 0
9 Pcs
Amount 0 0 0 0 0

10 Pcs
0 0 0 0 0
Amount
11 Pcs
Amount 0 0 0 0 0
12 Pcs
Amount 0 0 0 0 0
13 Pcs
Amount 0 0 0 0 0
14 Pcs

Amount 0 0 0 0 0
15 Pcs
Amount 0 0 0 0 0
16 Pcs
Amount 0 0 0 0 0
17 Pcs
Amount 0 0 0 0 0
18 Pcs

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CCF

bility row.
Input on this color. Check also the cash count form for the data needed

COINS
10 5 1 0.25 0.1 0.05 0.01 Accounted Accountability Short/Over

400.00 3000 -2600


0 0 0 0 0 0 0

1,040.00 3000 -1960


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000

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CCF

Amount 0 0 0 0 0
19 Pcs
Amount 0 0 0 0 0
20 Pcs
Amount 0 0 0 0 0
21 Pcs
Amount 0 0 0 0 0
22 Pcs
Amount 0 0 0 0 0
23 Pcs
Amount 0 0 0 0 0
24 Pcs
Amount 0 0 0 0 0
25 Pcs
Amount 0 0 0 0 0
26 Pcs
Amount 0 0 0 0 0
27 Pcs
Amount 0 0 0 0 0
28 Pcs
Amount 0 0 0 0 0
29 Pcs
Amount 0 0 0 0 0
30 Pcs
Amount 0 0 0 0 0
31 Pcs
Amount 0 0 0 0 0
32 Pcs
Amount 0 0 0 0 0
33 Pcs
Amount 0 0 0 0 0
34 Pcs
Amount 0 0 0 0 0
35 Pcs
Amount 0 0 0 0 0

Don't Touch Anything


TOTAL PCS 2 2 0 0 2
TOTAL AMOUNT 1000 400 0 0 40

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CCF

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0.00 3000 -3000


0 0 0 0 0 0 0

0 0 0 0 0 0 0
1,440.00 105,000.00 -103,560.00
0 0 0 0 0 0 0

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