FORM FA.5.P REV 7-1.53


 APPROVED BY
STATE DEPARTMENT OF EDUCATION AND
COMMITTEE ON INTERNAL ACCOUNTING


REPORT OF TICKETS SOLD or ADMISSIONS


Nature of Event
Location Date 19-
Opponent School (if any). --


Adm.


Tax Total


PRICE OF TICKETS ADULT
 or
 ADMISSIONS STUDENT


 ADULT STUDENT
NUMBER TICKETS ISSUED
NUMBER TICKETS SOLD (*)
NUMBER TICKETS RETURNED


 SUMMARY OF TICKETS SOLD (indicated (') above)
 ADULT TICKETS @ $
 STUDENT TICKETS @ $-
TOTAL CASH TRANSMITTED HEREWITH $-

I hereby certify that this report is true and accurate.


 TICKET SELLER
I hereby certify that the above report accurately represents the
cash transmitted, or tickets returned as indicated.


 SPONSOR OR TREASURER

 Date this report received 19
 Entered on Receipt