p74471_BSL-M-2259_Balance Form 11-21.pdf
PDF 1016 KB Posted
- Attached to
- BSL-M-2259 BALANCING FORM
- Solicitation number
- RFQ 171 260000000367 1
- Issued by
- Michigan
About this file
This is a Michigan Lottery Balancing Form (BSL-M-2259) used by the Michigan Lottery to track inventory and reconcile lottery ticket accounts at retail locations. The form is designed for retailers to document beginning and ending inventory across three unit types, including online tickets, instant tickets, and equipment. The form accommodates up to 36 game numbers with corresponding dollar amounts, allows retailers to record inventory additions and removals, and includes sections for tracking pack activations and returns. The document requires signatures from both a lottery representative and the retailer to authorize the balance reconciliation and any inventory adjustments or corrections.
The balancing form includes designated fields for retailers to report beginning inventory, inventory added, inventory changed or removed, and ending inventory across all three unit types. Additional sections allow retailers to document inventory corrections showing both old and new inventory amounts with corresponding dollar values. The form authorizes the Michigan Lottery under Act 239 of 1972, as amended, and requires retailers to provide their retailer number and name for identification purposes. This standardized form ensures consistent inventory accounting practices across Michigan Lottery retail outlets and facilitates accurate financial reconciliation of lottery ticket sales and equipment management.
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Other files
| File | Type | Posted |
|---|---|---|
| BSL-M-2259 Balancing Forms .docx | DOCX document | |
| Standard Contract Terms - Short Form.pdf | ||
| State of Michigan Print Mail Management Terms Conditions (1).docx | DOCX document |
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Text version
Date:
Bin # Bin #
Game # $ Amount Game # $ Amount Game # $ Amount Game # $ Amount Game # $ Amount Game # $ Amount
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
Removed: Added: Removed: Added: 29
Removed: Added:
# Packs
Activated:
Activated:
# Packs
Returned:
$ Returned:
Authority: Act 239 of 1972, as amended. BSL-M-2259 (11/21)
Retailer #: ______________________ Retailer Name: ___________________________________________
UNIT TYPE 1:
GRAND TOTALS
Lottery Representative Signature: _______________________________________ Retailer Signature: _______________________________________
$ Requested
Inventory Added:
Ending Inventory:
Ending Inventory:
Changed/Removed/
Adjusted:Additonal Notes: Adjustment Requests:
# Online Tickets: # Instant Tickets:
Ending
Inventory:
Inventory Added:
Changed/
Removed/
Adjusted:
Equipment (1)
Beginning Inventory:
Inventory
Added:
Changed/Removed/
Adjusted:
Bin #
REMOVED ADDED
Equipment (2)
Beginning
Inventory:
UNIT TYPE 2: UNIT TYPE 3:
Bin #
REMOVED ADDED REMOVED ADDED
Michigan Lottery Balancing Form
Inventory Corrections
OLD Inventory NEW Inventory $ Amount Corrected OLD Inventory NEW Inventory $ Amount Corrected
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