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Registry

Date Counted

Reported Amount

Actual Breakdown

$100

$50

$20

$10

$5

$1

25¢

10¢

5¢

1¢

Actual Total

Bills Total

Coins Total

Leftover Breakdown

$100

$50

$20

$10

$5

$1

25¢

10¢

5¢

1¢

Leftover Breakdown Total

Total

Bills Total

Coins Total

Over/Short

Note