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E OF COUNT________________ Petty Cash Currency __________________Change Fund _____ X $ 1.00 = ___________ _____ X 5.00 = ___________ _____ X 10.00 = ___________ _____ X 20.00 = ___________ _____ X 50.00 = ___________ _____ X 100.00 = ___________ Total Currency Coin Other____________________ _____ X .01 = ___________ _____ X .05 = ___________ _____ X .10 = ___________ _____ X .25 = ___________ _____ X .50 = ___________ _____ X $ ______________ 1.00 = _______.

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