APPENDIX 2: AN EXAMPLE OF FORM AG 162
AG 162
Revenue collectors Cash Book
Collectors Name: . .
Station: . ..
Receipts Serial Amount Coinage Allocation
Date Numbers Collected
No. of
From To Receipts M L Details M L
. M10 ...........
.. M5 .............
.. M2 .............
.. M1 .............
.. 50L ...............
. 20L ...............
. 10L ...............
... 05L ..................
. 02L ....................
. 01s .................
.. P.Os & M.Os .......
.. Shortage-
. Vr. No .........
. Surplus-
. Rt. No. ......... .
. ______________________________
.. Gross Total ________________
.. Revenue Allocation
. Head and Item : M L
.. : ....
. : ....
. : ....
. Total = ____________________
I certify that receipts and
Checked and found correct
Scheduled of cancelled Receipts Bank Deposit Slips
(Where applicable) are attached.
Signature of Sub-accountant/checking officer
Revenue Collector ..
Date Date Stamp
ANALYSIS OF MONIES PAID IN
CASH M L
M10 Notes ............
M5 " ............
M2 " ............
M1 " ................
Other Notes .......
Silver .......
Bronze ........
Postal & Money Orders .........
CHEQUES DRAWERS NAME
.......
.......
.......
.......
.......
__________________
TOTAL
