“Water and Sewer Department of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amount Per Bank Statement Dated . . . . . . . . . . . . .
Date . . . . . . . . . . . . .
Add: DATE Deduct: CHECK NO
RECONCILED BALANCE Deposits in transit (Receipts recorded in Cash Receipts Journal not shown on this bank statement)
RECEIPTS NO
AMOUNT $ .00 .00 .00 Outstanding Checks (Checks issued and dated prior to date of bank statement per Cash Disbursements Journal not having yet cleared the bank)
PAYEE AMOUNT $ .00 .00 .00 $ .00 .00 .00 $ .00”
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