State Form 41644 - Report Of Receipts
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1
2REPORT OF RECEIPTS
Name of property
State Form 41644 (R3 / 12-99)
Work unit
Date submitted
Period ending date
Approved by State Board of Accounts 1999
DEPARTMENT OF NATURAL RESOURCES
Call in date and time
Acceptance code
Report number
Division of Fish and Wildlife
SOURCE
CALENDARS
LICENSES
TOTAL COMPUTED
OVER / SHORT
DNR-6
DNR-7
TOTAL CASH
Ending Reading
Beginning Reading
Gross Receipts
Errors
Refunds
Computed Record
Over / Short
Cash Collected
PART II - COMPUTED RECEIPT BREAKDOWN
Licenses
Licenses
Annual Launch
Campground Fees
Pheasant Hunt
Daily Launch
Annual Mooring
Boat Rental
Life Preserves
Duck Blinds
Decoys
Goose Pits
Field Trials
Farm Contracts
Crop Sales
Firewood
Lost Badges
Annual Horse Tags
Miscellaneous
Calendars
Recycled
Federal Duck Stamp
Taxes
TOTAL RECEIPTS
I certify that this report includes total monies collected (including overages and unreported amounts) for the period indicated and includes any amount for periods not previously paid to the State.
Date
Audited by
Total deposit
Prepared by
Property Manager
Date
Date
Minus (-) Credit Cards
Cash deposit
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Parent category: Legal