Closing Out Form
Date
-
Month
-
Day
Year
Date
Staff Initials
Checks (from payment report)
Cash
Total Checks + Cash:
Deposit Slip Total
Total Deposit should match Checks and Cash Total above.
Credit Cards +
Care Credit +
Grand Total:
To find the grand total, add the Credit Cards, Care Credit, and Deposit Slip Total. Grand Total should match payment report.
Submit
Should be Empty: