Talley Sheet
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Accent Newspaper Contribution Talley Sheet Name of Piece
Printed or Online
Type
Date Published
Approved
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
Total Pieces Contributed ___________
Total Payment Due ______________
By signing and dating below, I confirm that all of the information on this sheet is accurate. _______________________________________
_______________________________________
Contributor Signature, Date
Accent Adviser Signature, Date
Accent Newspaper Contribution Talley Sheet Name of Piece
Printed or Online
Type
Date Published
Approved
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
______________________
P/O
Ph / Wr / Art
_____________
_________
Total Pieces Contributed ___________
Total Payment Due ______________
By signing and dating below, I confirm that all of the information on this sheet is accurate. _______________________________________
_______________________________________
Contributor Signature, Date
Accent Adviser Signature, Date
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