BANK * STATION RECONCILIATION 
Period Ending A f D / J 'A/) / 
' Station 
Station Currency Reported in 
.CHECKS OUTSTA NPTTNf 1 
Check // 
P er Bank Statement 
Amount 
Plus Deposits in Transit 
Dess Outstanding Checks 
ADJUSTED BANK BABANCE 
'? Adjustments - — / ') j> 
k k>~ hi .ot:pr 
ADJUSTED STATION BALANCE 
Balance (per above) 
Petty Cash Balance 
REIMBURSEMENT 
Adjustments (as noted below) 
Total 
TOTAL ACCOUNTABILITY 
TOTAL 
Reconciled by Grants & 
Washington, D. C. on / 
ontracts Office 
?S/££ /).U 
