Cash Count Form EmailUsed to email copy after submission. Not required, but recommended for troubleshooting purposes.Location*Mighty Wash #1Mighty Wash #2Mighty Wash #3Mighty Wash #4Mighty Wash #5Mighty Wash #6Mighty Wash #7Mighty Wash #8Mighty Wash #9Mighty Wash #10Mighty Wash #11Mighty Wash #12Mighty Wash #13Choose your wash location.Employee*Date* (mm/dd/yyyy)Money Removed from Cash Box Totals TotalsFinalTotals Totals Totals TotalsMoney Added to Bill Recycler Kiosk DepositDeposit / Cashier Station / Safe CountTotal toDeposit ($)* PenniesNickelsDimesQuarters$1 Coins$1 Bills$5 Bills$10 Bills$20 Bills$50 Bills$100 BillsRefunds Paid In ($)SAFECASHIER 2BANK DROPDEPOSIT $1$1$5OpeningBalanceAmountin Unit$10$1$5$10$20$5$10$20Kiosk 4Kiosk 3Kiosk 2*Kiosk 1*Tips ($) Payment options Submit