BALANCE AT BEGINNING OF (TERM) (YEAR):  DATE_________________      $____________
RECEIPTS
1.Dues                                $                                 11.                                       $                       .
2.Coin Collection               $                                 12.                                       $                       .
3.                                        $                                13.                                        $                       .
4.                                        $                                14.                                        $                       .
5.                                        $                                15.                                        $                       .
6.                                        $                                16.                                        $                       .
7.                                        $                                17.                                        $                       .
8.                                        $                                18.                                        $                       .
9.                                        $                                19.                                        $                       .
10.                                      $                                20.                                        $                       .

                                                                                                    TOTAL RECEIPTS $                       .
                                                                                                              SUB TOTAL $                       .
DISBURSEMENTS
1.Rent                                 $                                21.                                        $                       .
2.Refreshments                   $                                22.                                        $                       .
3.                                        $                                23.                                        $                       .
4.                                        $                                24.                                        $                       .
5.                                        $                                25.                                        $                       .
6.                                        $                                26.                                        $                       .
7.                                        $                                27.                                        $                       .
8.                                        $                                28.                                        $                       .
9.                                        $                                29.                                        $                       .
10.                                      $                                30.                                        $                       .
11.                                      $                                31.                                        $                       .
12.                                      $                                32.                                        $                       .
13.                                      $                                33.                                        $                       .
14.                                      $                                34.                                        $                       .
15.                                      $                                35.                                        $                       .
16.                                      $                                36.                                        $
17.                                      $                                37.                                        $                       .
18.                                      $                                38.                                        $                       .
19.                                      $                                39.                                        $                       .
20.                                      $                                40.                                        $                       .

                                                                                    TOTAL DISBURSEMENTS $                       .
BALANCE AT END OF (TERM) (YEAR):  DATE                                                $                       .

NAME OF FINANCIAL INSTITUTION CURRENTLY USED                                                     .

SUBMITTED BY                                                                                DATE                       .
COPY TO:  Miss Jessica Dalheim, 1725 W. Jackson St., Springfield,  IL  62704