Date:
Account Number:
Account Name:
Description of Deposit:
Bills: Coins:
$ 100’s $
$ 1.00
$
$ 50’s $
$ .50
$
$ 20’s $
$ .25
$
$ 10’s $
$ .10
$
$ 5’s $
$ .05
$
$ 1’s $
$ .01
$
Total Cash
$
Please List Checks Included In Deposit:
Check #
Receipt #
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Checks
$
Grand Total Deposit
$
'HOLYHUHGE\: _________________________________________
Cash Deposit Details
Please Provide
Name
Student ID #
(If applicable)
Check Amount
Deposits accepted between 9:00 am and 12 pm and between 3:30 pm and 5:00 pm
Please call the Office of Cashiering at extension 7540 with any questions
- -
Office of Cashiering
Deposit Slip
0.00
0.00
0.00
Revised April 17, 2013
(Dept. Name/Location)________________________________
Return Receipt to