TRANSMITTAL FORM
FROM:
DATE:
ACCOUNT NUMBER:
NAME (PERSON/ORGANIZATION) EXPLANATION CASH
(If applicable)
CHECK/MONEY
ORDER NUMBER
AMOUNT
TOTAL
-
Form No. ASUFA 300
Effective Date 05/01/97
Revised 4/03/03
Call Financial Operations at 229-430-4610 for any questions.
Transmitted by (Signature)
Received by (Signature)
MARK 'X' IN APPROPRIATE BOX
DEPARTMENT
Date
Date
CHECK or
MONEY
ORDER
$ 0.00
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