WSR – Infoplace USA

If your location only reports hours, please use this form WSR Hours Only

Location Number *

Location Name *

Week Ending *

Prepared By *

Email *

Area Supervisor's Name *

Check is this is a resubmission

Revised

Weekly Hours

Approved Hours *

Actual Hours *

Hours Variance *

Actual Weekly Hours - Weekly Approved Hours. A Booth Additional form or Mall Requested form is required for any actual hours used over the approved hours amount.

Explain Hours Variance *

Provide an explanation if the Actual Hours do not match the Approved Hours.

Sales Vs. Expenses

1. $1.00 Instant Sales

37. Instant Ticket Wins (mach 1)

2. $2.00 Instant Sales

38. Instant Ticket Wins (mach 2)

3. $3.00 Instant Sales

39. Mid-Tier Wins

4. $5.00 Instant Sales

40. Terminal Games Wins (mach 1)

5. $10.00 Instant Sales

41. Terminal Games Wins (mach 2)

6. $20.00 Instant Sales

42. Lottery Coupons or Discounts

7. $25.00 Instant Sales

43. Expenses/Supplies

8. $30.00 Instant Sales

43. Expenses/Supplies Explanation

9. $______ Instant Sales

44. Other Costs

10. Total Instant Sales

Other Costs Explanation

11. Terminal Games

45. Staff Meetings

12. Total Lottery Sales

49. Mall Gift Cards/Paid by Mall/Promo

13. Strollers and Kiddie Kabs

54. Misc. Costs A

14. Postage Stamps

Misc. Costs A Description

15. Transit Pass Sales

55. Misc. Costs B

16. Faxes

Misc. Costs B Description

17. Copies

56. Misc. Costs C

18. Gift Wrap/Boxes

Misc. Costs C Description

19. Misc. Sales A

61. Amex Deposits

Misc. Sales A Description

62. Visa/MC/Discover Deposits

20. Misc. Sales B

63. Total Credit/Debit Card Deposits

Misc. Sales B Description

64. Cash/Check Deposits *

21. Misc. Sales C

67. Total Deposits (63+64) *

Misc. Sales C Description

68. Short (add) *

If no shortage enter 0

22. Misc. Sales D

Reason for Shortage *

Misc. Sales D Description

69. Over (deduct) *

If not Overage enter 0

23. Misc. Sales E

Reason for Overage *

Misc. Sales E Description

Notes

25. Mall Gift Card Sales

Notes

26. Mall Gift Card Fees

Notes

27. Amex Gift Card Sales

Notes

28. Amex Gift Card Fees

Notes

Grand Totals

36. Grand Total Sales *

Must Match 70

70. Grand Total Expenses *

Must Match 36

Instant Ticket Inventory

$1.00 Instant Ticket Inventory

$10.00 Instant Ticket Inventory

$2.00 Instant Ticket Inventory

$20.00 Instant Ticket Inventory

$3.00 Instant Ticket Inventory

$25.00 Instant Ticket Inventory

$5.00 Instant Ticket Inventory

$30.00 Instant Ticket Inventory

$____ Instant Ticket Amount

$____ Instant Ticket Inventory