Textbook Receipt Agreement

I have received the following number of textbooks for use in my classroom.

________Math ________Language

________Social Studies ________Spelling

________Handwriting ________Health

________Reading ________Other

______________________________________ ________________________________

Teacher Signature Date Received

Inventory Count

________Math ________Language

________Social Studies ________Spelling

________Handwriting ________Health

________Reading ________Other

_____We have inventoried the textbooks in this classroom and agree with the count to be returned to the book room/retained in classroom.

_____We have inventoried the textbooks in this classroom. The difference in count for the following book/books is due to: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________

All other books listed are correct.

_____________________________________________ ____________________________

Signature of Teacher Date

_____________________________________________ ____________________________

Signature of Aide Date

IV. 2