Division of Business and Financial Affairs
Student Business Services
One University Drive
Camarillo, CA 93012
(805) 437-8810
Request to Deposit Funds
Da
te:
Business Unit Information
AR_FDN (Foundation AR Invoices)
AR_OTHER (Other AR)
AR_SALADV (Employee AR-Salary Advance)
AR_ASI (ASI AR Invoices)
REVOLVING CLAIMS FUND
ELMCLEARING (ELM Clearing)
EMARKET: ____________________________
FDN-C (Foundation Cash Donations)
FDN-CK (Foundation Check Donations
LIBRARY MEMBERSHIP
LIBRARY FINES
MISC-ASI (Miscellaneous Payments CIASI)
MISC-CMP (Miscellaneous Payments CICMP)
MISC-CSA (Miscellaneous Payments CICSA)
MISC-UGC (Miscellaneous Payments CIUGC)
OTHER: _______________________________
N
ame of Requestor: ________________________________________ Business Unit/Dept: __________
Payer Name: _______________________________________________________________________________
Description of Payment: ______________________________________________________________________
Account String (if applicable):
Account Fund Department Program Project Class Amount
___________ _________ ___________ ___________ __________ _________ ________________
Account Fund Department Program Project Class Amount
___________ _________ ___________ ___________ __________ _________ ________________
Account Fund Department Program Project Class Amount
___________ _________ ___________ ___________ __________ _________ ________________
Account Fund Department Program Project Class Amount
___________ _________ ___________ ___________ __________ _________ ________________
Invoice Number(s) (if applicable):
__________ __________ __________ _________ __________ __________ __________
Tender Information:
Cash Total: ______________
Check Total: _____________ Check Number(s):___________________________________
Total amount to be deposited: ______________
Receipt Information:
Email Receipt to: ___________________________________________________________________________
Si
gnature: ______________________________________________________________
