[Paul B.]

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I feel like almost no one can give change the old school way

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Counting?

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Sort of. Counting up to the nearest denomination coin/note.

Example:
The purchase amount is $2.12 and you give a $20.

3 pennies -> $2.15
1 dime -> $2.25
3 quarters -> $3.00
2 singles -> $5.00
1 $5 -> $10.00
1 $10 -> $20.00

Also, other basic stuff, like if the purchase amount is $4.85 and you give a $5 + a dime so that you can get a quarter back. More and more often, the cashier gives me my dime back and rings it up for $5.