City of . . . . . . . . . . . . .
Date . . . . . . . . . . . . .
Amount Per Bank Statement Dated . . . . . . . . . . . . .
Add: DATE Deposits in transit (Receipts recorded in Cash Receipts Journal not shown on this bank statement)
RECEIPTS NO
AMOUNT Deduct: Outstanding Checks (Checks issued and dated prior to date of bank statement per Cash Disbursements Journal not having yet cleared the bank)
PAYEE AMOUNT CHECK NO
RECONCILED BALANCE $ .00 .00 .00 $ .00 $ .00 .00 .00 $ .00 .00 .00 This reconciled balance shall agree to either the cash balance as shown on the municipality’s check stubs running bank balance or the municipality’s general ledger cash balance, whichever system the municipality employs