Give to: FSMA Treasurer

From: _________________________________________
(name)


This income should be credited to: 
____________________________ _________________.
(Committee)                                                       (date)

I hereby attest that this income has been received by me in behalf of FSMA 

________________________   __________
(signature)                                        (date)

Checks Collected = $_________________ # of checks = _________

Cash Collected =    $ ___________________

                   TOTAL $ ___________________

The above cash and check figures are in agreement 

______________________________    __________________________________ date _________
      Collector                                             Treasurer

( Both parties shall sign the above and maintain a copy of this voucher for their records)

Supportive documentation shall be attached to the back of this form which clearly agrees with the monies reported above i.e. cash and checks and the totals.
A separate voucher must be used for each type of income activity i.e.:

Ways and Means Income ___________________________(specify type of Items sold)
Pin income,   Exhibitor income,   Program Ad Income,   Seminar Registration Income,   Convention Registration income.   Donations etc. etc.