SALES SUMMARY INFORMATION SALES SUMMARY INFORMATION Corporation Name Business Name Phone Number Email Address Month Year Summary Income/Reciepts Gas Sales High Tax Sales Low Tax Sales Non Tax Sales Sales Tax Collected Totall Collected Other income Lottery Income ATM Income Money Order Income Rental Income Check Cashing Income Bill Pay Income Other Income Other Income Total Collected Expenses/Payments Cash Only Purchases Cash Only Repairs & Maint Cash Only Janitariol Exp Cash Only Supplies Cash Only drive Offs Other Expense Total Expenses/Payments GAS REPORTING Date of EFT Gas Purchases Credit Card Fees Equipment Rental Charge back Repair & Maintenance Rent Expense Other Expense Total Expenses Credit Cards EFT Amount ($) plus1 Add minus1 Remove COAM REPORTING COAM License # COAM REPORING PERIOD FROM COAM REPORING PERIOD TO Total Gross Reciepts Total Net Reciepts Descripency / Adjustment Last Collection Date Do you agree with the above details ? Captcha If you are human, leave this field blank. Submit Back
