| Date: | ___________________________________________ | |
|---|---|---|
| Activity: | ___________________________________________ | |
| Counted By: | ___________________________________________ | |
| Cash: | Checks: | |
|---|---|---|
| Sangha Dana: | ___________________ | ___________________ |
| Scholarship Dana: | ___________________ | ___________________ |
| Teacher Dana:* | ___________________ |
|
* For teacher dana, cash and checks made payable to the teacher are handed directly to the teacher without being counted. For this form, count only checks made payable to Albuquerque Vipassana Sangha. List below only those checks made payable to Albuquerque Vipassana Sangha for which you paid the teacher cash taken out of sangha dana: |
| Payee: | Amount: | Teacher Name: |
|---|---|---|
| __________________________ | _________________ | __________________________ |
| __________________________ | _________________ | __________________________ |
| __________________________ | _________________ | __________________________ |
| __________________________ | _________________ | __________________________ |