MDHHS-5679 Consecutive Numbering Example.pdf

These are two identical official receipt forms from the Michigan Department of Health and Human Services for the Caro Psychiatric Hospital. The forms are blank receipt templates (Form MDHHS-5679, Revision 12-21) with pre-printed headers and numbered receipt tracking codes (91351 and 91352), designed for documenting financial transactions. The forms include sections for recording the recipient's name, account number, purpose, amount, date deposited, signature, receipt voucher, and date, but no specific transaction details have been filled in on either form.

The receipt forms appear to be standard administrative documentation used by the Michigan Department of Health and Human Services for tracking monetary transactions at the Caro Psychiatric Hospital. The forms are identical, with only their receipt numbers differing, suggesting they are part of a standardized financial record-keeping process for the hospital's accounting procedures.