Bookkeeping Final Project

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Documents_and_Forms.pdf

Documents and Forms

1

FORM 1

Documents and Forms2

Hemlock Gas and Electric Co. Hemlock, PA 18953-6174

TO Basswood Furniture 124 River Lane Hemlock, PA, 18951

LAST MONTH’S BALANCE $125.23 PAYMENTS $125.23 CHARGES/CREDITS $137.89 THIS MONTH’S BALANCE $137.89

ELEC

GAS

BILL TO

Nov. 26

READING

26741

DAYS

30

RATE

3

QUANTITY

344

NET CHARGES

$137.89 ACCOUNT NUMBER

9614382

ACCOUNT NUMBER

9614382

NEXT READING

December 26

AREA

1

DATE DUE NET

December 20

GROSS CHARGES

$137.89

PLEASE ENCLOSE

THIS STUB

DATE DUE 12/20/XX

GROSS $137.89

NET $137.89

Hemlock Gas and Electric Co. Hemlock, PA 18953-6174

FORM 2

Documents and Forms 3

Atlantic Telephone Co. Hemlock, PA 18952-6143

DATE December 17, 20XX

TO Basswood Furniture 124 River Lane Hemlock, PA, 18951 Phone: 570-841-9191

Local Service $169.99 Distant Calls $162.65 Other Charges — Directory Advertising — Balance From Last Bill —

Total $232.64

Amount $232.64

(570) 841-9191

Basswood Furniture 124 River Lane Hemlock, PA 18951

RETURN THIS STUB

Atlantic Telephone Co. Hemlock, PA 18952-6143

FORM 3

Documents and Forms4

Liya Designs

13 Spruce Street

Archwood, PA 17514 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Liberty Bank & Trust

Archwood, PA ____________________________________

081223776: 3291748

Basswood Furniture

Seven Thousand Five Hundred Eighty and 00/100

7,580.00

Liya Adams

November 28 XX

22-751

645

NO. 268

Yu Wei Creations

91 Nittany Drive

Lansdale, PA 13956 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Lansdale FCU

Lansdale, PA 13956 ____________________________________

08900642: 371295

Basswood Furniture

Six Thousand Four Hundred Thirty Seven and 00/100

6,437.00

Yu Wei Garba

November 29 XX

34-121

820

NO. 1231

FORM 4

FORM 5

Documents and Forms 5

FORM 6

FORM 7

Wayne Shriver

1079 Hillwood Avenue

Hemlock, PA 18954 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Summit National Bank

Hemlock, PA 18953-0096 ____________________________________

079248671: 7617444

Basswood Furniture

Fourteen Thousand Two Hundred Fifty and 00/100

14,250.00

Wayne Shriver

December 5 XX

60-247

725

NO. 10178

Sam Little

1223 Johnston Drive

Lansdale, PA 13956 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Adams Trust

Adams, PA 14475 ____________________________________

074109113: 8416722

Basswood Furniture

Two Hundred and 00/100

200.00

Sam Little

December 5 XX

22-319

775

NO. 501

Documents and Forms6

Basswood Furniture 124 River Lane, Hemlock, PA 18951

ACCOUNT NO. SOLD BY DATE

AR-060 B. Redmond Dec. 5, 20XX

Sold to Michael’s Furniture

Address 284 Carter Lane

City Hanson State PA Zip 14761

Send to same

Address

City State Zip

Rec’d. on Acct. r Charge Sale r Sales Ret./Allow r

QUANTITY ARTICLES AMOUNT

1 WNR-0001 Wine Rack $1250 00

Tax 1275 00

Total $1325 00

Michael Giovanni

CUSTOMER’S SIGNATURE

All claims & returned goods MUST be accompanied by this bill.

4

0175

FORM 8

Documents and Forms 7

Basswood Furniture 124 River Lane

SOLD TO Hemlock, PA 18951

Tom Baker 53 Union Street

Hemlock, PA 18951

SHIP TO

Same

TERMS 2/10, N/30

VIA Customer

DATE December 6, 20XX SALESPERSON Tom

INVOICE NO. Job 132 DISTRICT

QUANTITY PRODUCT NO. DESCRIPTION UNIT PRICE TOTAL

1 Material Tax Total

$5377.36 $5377.36 322.64

$5700.00

FORM 9

Documents and Forms8

Basswood Furniture 124 River Lane, Hemlock, PA 18951

ACCOUNT NO. SOLD BY DATE

AR-110 Ian Dec. 7, 20XX

Sold to Jack Williams

Address 203 Chadwick Drive

City Hemlock State PA Zip 18953

Send to same

Address

City State Zip

Rec’d. on Acct. r Charge Sale r Sales Ret./Allow r

QUANTITY ARTICLES AMOUNT

1 ETB-0006 End Table $275 00

Tax 16 50

Total $291 50

Jack Williams

CUSTOMER’S SIGNATURE

All claims & returned goods MUST be accompanied by this bill.

0176

FORM 10

Documents and Forms 9

Petty Cash Voucher

No.__________________________________________ Date __________________ 20 ____

Paid to ______________________________________________________

For__________________________________________________________

Charge to __________________________________________________________________________________

Remittance received:

__________________________________________ Approved by ________________________

Amount

FORM 11

FORM 12

Donna Bigelow

901 Washington Lane

Appleton, PA 16572 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Wells Trust

Appleton, PA 16572 ____________________________________

073673842: 8109092

Basswood Furniture

Eight Hundred Sixty and 00/100

860.00

Donna Bigelow

December 2 XX

11-114

341

NO. 421

Documents and Forms10

Basswood Furniture 124 River Lane, Hemlock, PA 18951

ACCOUNT NO. SOLD BY DATE

Ian Dec. 8, 20XX

Sold to Janet Martinez

Address 23 Crown Avenue

City Hemlock State PA Zip 18951

Send to same

Address

City State Zip

Rec’d. on Acct. r Charge Sale r Sales Ret./Allow r

QUANTITY ARTICLES AMOUNT

1 Table $600 00

1 Chair 510 00

Subtotal 1110 00

Tax 66 60

Total $1176 60

Janet Martinez

CUSTOMER’S SIGNATURE

All claims & returned goods MUST be accompanied by this bill.

2432

4

FORM 13

Documents and Forms 11

FORM 14

EVERYTHING WOOD INVOICE NO. ______________________

DATE ____________________________

TERMS ____________________________

SHIPPED BY ______________________

SALESPERSON ______________________

QUANTITY DESCRIPTION PRODUCT NO. UNIT PRICE TOTAL

1 Table & Chair Exotic Wood 1 x 10 x 8

Overnight Shipping Total

$245.00 $245.00

55.00 $300.00

608 Rider Avenue Capta, CA 93412

OUR ORDER NO. YOUR ORDER NO.

4043 Job #133

SOLD TO Basswood Furniture 124 River St. Hemlock, PA

9191

Dec. 8, 20XX

2/10, n/30

Overnight

Russ

QUALITY FURNITURE

Documents and Forms12

Rocker Woodcraft

Invoice No. 96177

Terms 2/10, N30

Salesperson Ron

Shipped By Customer

Your Order No. 1225

QUANTITY DESCRIPTION PRODUCT NO. UNIT PRICE TOTAL

1 Air Ventilation/Dust Collection System DC-632

Tax Total Check #2655

Balance Due

$2299.00 $2299.00

137.94 $2436.94 (750.00)

$1686.94

641 Oak St. Hemlock, PA 18955

Sold To Basswood Furniture 124 River St. Hemlock, PA

Date December 8, 20XX

Our Order No. 21149

FORM 15

Documents and Forms 13

FORM 16

FORM 17

Sam Little

1223 Johnston Drive

Lansdale, PA 13956 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Adams Trust

Adams, PA 14475 ____________________________________

074109113: 8416722

Basswood Furniture

Two Hundred Twenty Five and 00/100

225.00

Sam Little

December 8 XX

22-319

775

NO. 511

Kenny Refinishing

73 Tomey Avenue

Brighton, PA 16688 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Historic Bank

Brighton, PA 16688 ____________________________________

06174192: 371411

Basswood Furniture

Nine Hundred Twenty Five and 00/100

925.00

Kenny Bowles

December 7 XX

64-122

518

NO. 42

Documents and Forms14

Basswood Furniture 124 River Lane, Hemlock, PA 18951

ACCOUNT NO. SOLD BY DATE

AR-110 B. Redmond Dec. 12, 20XX

Sold to Quality Furniture

Address 101 Chester Drive

City Birchwood State PA Zip 19834

Send to same

Address

City State Zip

Rec’d. on Acct. r Charge Sale r Sales Ret./Allow r

QUANTITY ARTICLES AMOUNT

1 CTB-0007 Coffee Table $425 00

1 ETB-0003 End Table 245 00

ETB-0006 End Table 270 00

Subtotal 940 00

Tax 56 40

Total $996 40

Tom Crawford

CUSTOMER’S SIGNATURE

All claims & returned goods MUST be accompanied by this bill.

0178

4

FORM 18

Documents and Forms 15

CAROL’S WOOD SUPPLIES

Invoice No. 00579

Our Order No. 14177

Cust. Order No.

Shipped Via Customer

Terms 2/10, N/30

QUANTITY DESCRIPTION PRODUCT NO. UNIT PRICE TOTAL

2

2

1

Wood Supplies for Desk

Wood Supplies for Bookcase

Wood Supplies for Foot Locker

Total

$225.00

375.00

35.00

$450.00

750.00

35.00

$1235.00

6 Lane Way, Canton, NJ 35741

Date December 12, 20XX

Sold To Basswood Furniture 124 River St. Hemlock, PA

FORM 19

Documents and Forms16

Pete Schwab

223 Main Drive

Hemlock, PA 18953 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Hemlock Federal Credit Union

Hemlock, PA 18951-1463 ____________________________________

066004372: 309141

Basswood Furniture

Nine Thousand One Hundred Fifty Five and 75/100

9,155.75

Pete Schwab

December 13 XX

20-104

740

NO. 407

Jim and Pearl Jones

92 Weston Ave.

Carverton, PA 18346 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Carverton Federal Credit Union

Carverton, PA 18341-2494 ____________________________________

051142712: 0045561

Basswood Furniture

One Hundred Twenty Five and 00/100

125.00

Pearl Jones

December 9 XX

71-347

749

NO. 149

FORM 20

FORM 21

Documents and Forms 17

FORM 22

Clean-It-Rite Cleaning Service 11 W. Market St.

Hemlock, PA 18952 Invoice No. 03112

DATE DESCRIPTION AMOUNT

12/14/20XX Monthly Store Cleaning $275.00

ALL BILLS DUE 30 DAYS FROM DATE OF INVOICE

Date December 14, 20XX

Sold To Basswood Furniture 124 River St. Hemlock, PA

Documents and Forms18

FORM 23

Documents and Forms 19

FORM 24

FORM 25

PENNSYLVANIA DEPARTMENT OF REVENUE SALES TAX COLLECTION BUREAU

Basswood Furniture Collection for month ended:

124 River St.

Hemlock, PA 18951 ____________________________________

(570) 841-9191

Amount remitted: ____________________

EIN: 25-9000782 Date of remittance: ____________________

, 20XX

/ /20XX

$

Petty Cash Voucher

No.__________________________________________ Date __________________ 20 ____

Paid to ______________________________________________________

For__________________________________________________________

Charge to __________________________________________________________________________________

Remittance received:

________________________________________ Approved by ________________________

Amount

Documents and Forms20

The Capitol Media Group, Inc. 213 Empire Ave., Suite 412

Ashley, PA 18862

STATEMENT

DATE DESCRIPTION CHARGE CREDIT AMOUNT

1/1–3/31 Advertising 20XX 1st Quarter

$8,725.00

PAY LAST AMOUNT IN BALANCE COLUMN

Date December 26, 20XX

Sold To Basswood Furniture 124 River St. Hemlock, PA ALL BILLS DUE UPON RECEIPT

FORM 26

Documents and Forms 21

Elizabeth Dante

264 Landon Lane

Antigua, PA 15935 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Historic Bank & Trust

Antigua, PA 15933-1101 ____________________________________

051613981: 212334

Basswood Furniture

One Thousand Two Hundred Thirty Four and 00/100

1234.00

Elizabeth Dante

December 21 XX

20-141

720

NO. 631

FORM 27

FORM 28

The Antique Shoppe

659 Market St.

Sommerville, PA 15302 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Heritage Savings & Loan

Sommerville, PA 15302-7191 ____________________________________

077129483: 7100062

Basswood Furniture

Three Hundred Fifty and 00/100

350.00

Ben Whitman

December 23 XX

20-781

645

NO. 11304

Documents and Forms22

Andy Mellow

467 Reinhold Lane

Mountain Bend, PA 11302 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Mellon Savings & Loan

Mountain Bend, PA 11321-6147 ____________________________________

003505619: 1144821

Basswood Furniture

Fifty and 00/100

50.00

Andy Mellow

December 23 XX

20-818

739

NO. 172

FORM 29

Documents and Forms 23

Basswood Furniture 124 River Lane, Hemlock, PA 18951

ACCOUNT NO. SOLD BY DATE

Ian Dec. 28, 20XX

Sold to Wayne Shriver

Address 1079 Hillwood Ave.

City Hemlock State PA Zip 18954

Send to same

Address

City State Zip

Rec’d. on Acct. r Charge Sale r Sales Ret./Allow r

QUANTITY ARTICLES AMOUNT

1 Job #132

Custom dining room, living room,

bedroom sets $26,886 79

Tax 1,613 21

Total 28,500 00

Down Payment (14,250 00)

Balance Due $14,250 00

Wayne Shriver

CUSTOMER’S SIGNATURE

All claims & returned goods MUST be accompanied by this bill.

0179

FORM 30

Documents and Forms24

Wayne Shriver

1079 Hillwood Ave.

Hemlock, PA 18954 ________________________ 20 ____

PAY TO THE

ORDER OF __________________________________________________ $ ________

____________________________________________________________ DOLLARS FOR CLASSROOM USE ONLY

Summit National Bank

Hemlock, PA 18953-0096 ____________________________________

079248671: 7617444

Basswood Furniture

Fourteen Thousand Two Hundred Fifty and 00/100

14,250.00

Wayne Shriver

December 28 XX

60-247

725

NO. 10769

BASSWOOD FURNITURE QUICK MEMO FROM THE DESK OF IAN SMITH

DATE: 12/28/20XX

SUBJECT: Withdrawal Please issue a check for $5,000 against my capital

account. Thanks.

Ian Smith

FORM 31

FORM 32

Documents and Forms 25

FORM 33

CREDIT MEMORANDUM

Basswood Furniture 124 River Lane, Hemlock, PA 18951

Date December 29, 20XX Name Liya Designs Address 13 Spruce Street City Archwood State PA Zip 17514

Sales Number OK

Cash

Refund

Mdse

Order

Charge

4 Gift

Amount

Quantity Articles Amount

1 End Table 750 00

Tax 45 00

Credit Total 795 00

Reason Liya’s customer changed mind

Rec’d. Stock By Ian

X Liya Adams

CUSTOMER’S SIGNATURE

23

AR-020

Documents and Forms26

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Documents and Forms 27

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Deposit ticket Currency $

Coin

Checks

Total

List

checks

singly

Be sure

all items

are

endorsed

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

Amount 20-104

740

Hemlock Federal Credit Union Hemlock, PA 18951-1463

Date

HFCU

Documents and Forms28

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2260

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2260

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2261

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2261

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2262

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2262

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 29

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2263

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2263

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2264

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2264

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2265

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2265

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms30

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2266

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2266

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2267

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2267

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2268

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2268

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 31

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2269

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2269

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2270

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2270

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2271

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2271

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms32

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2272

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2272

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2273

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2273

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2274

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2274

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 33

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2275

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2275

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2276

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2276

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2277

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2277

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms34

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2278

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2278

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2279

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2279

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2280

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2280

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 35

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2281

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2281

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2282

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2282

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2283

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2283

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms36

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2284

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2284

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2285

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2285

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2286

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2286

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 37

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2287

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2287

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2288

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2288

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2289

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2289

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms38

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2290

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2290

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2291

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2291

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2292

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2292

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 39

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2293

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2293

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2294

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2294

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2295

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2295

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms40

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2296

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2296

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2297

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2297

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2298

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2298

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Documents and Forms 41

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2299

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2299

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2300

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2300

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________

Hemlock Federal Credit Union Hemlock, PA 18951-1463

HFCU

Basswood Furniture 124 River St. Hemlock, PA 18951

�:066004372�: 20 309921

by __________________________

PAY TO THE

ORDER OF ______________________________ $ ____________

________________________________________________Dollars For use in practice set

20-104

740 NO. 2301

______________ 20 ____

DOLLARS CENTS

BAL. BRO’T FOR’D

AMT. DEPOSITED

TOTAL

AMT. THIS CHECK

BAL. CAR’D FOR’D

NO. 2301

DATE ________________20 ____

TO ________________________

FOR ________________________

__________________________

ACCT. ______________________