Accounts Receivable AR01
DEPOSIT
To: ACCOUNTS RECEIVABLE DEPARTMENT
From:
Name: _____________________________________________________________________________
Department: ________________________________________________________________________
Extension: _______________________
Date: ____________
> Type of Currency: USD CAD
> Type of Deposit: Cheques Cash
> Number of Cheques: ____________
TOTAL AMOUNT FOR DEPOSIT: $_________________
IMPORTANT: If a single receipt has a value of $͕͔000
E-MAIL and/or Telephone # are required. If a Contact is not identified then Accounts Payable will be selected by
default.
BUSINESS NAME/CONTACT NAME: ________________________________
MAILING ADDRESS:
STREET: ________________________________________
SUITE/ P.O. BOX: ________________________________
CITY: ___________________ POSTAL CODE/ STATE: ___________________ COUNTRY: ___________________
CONTACT PHONE :_(____)_________________________
> Please deposit the following amounts as specified below (Note: if more than one account number, please
indicate the distribution of funds. If there is no value for one of the segments, please leave blank):
> If more than one account number please indicate the distribution of funds.
> The description can be maximum of 256 characters and will be what appears in Finance.
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E-MAIL ADDRESS:_________________________________
CUSTOMER CLASS:________________________________
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Reset Form
Account Information & Description
Description #
Fund
Dept.
Program
Project
Natural
Account
Amount
1
2
3
4
5
Description (maximum of 256 Characters):
1. ____________________________________________________________________________
2. ____________________________________________________________________________
3. ____________________________________________________________________________
4. ____________________________________________________________________________
5. ____________________________________________________________________________
Cash and Coin Inventory
PLEASE PROCEED TO SUBMIT THE FORM IF YOU HAVE SELECTED ‘CHEQUE’ IN THE ‘TYPE OF DEPOSIT’ OPTIONS.
__________ X $ 100 = __________ _________ Toons (Rolled) __________
__________ X $ 50 = __________ _________ Toons (Loose) __________
__________ X $ 20 = __________ _________ Loons (Rolled) __________
__________ X $ 10 = __________ _________ Loons (Loose) __________
__________ X $ 5 = __________ _________ Quarters (Rolled) __________
__________ X $ 1 = __________ _________ Quarters (Loose) __________
Total Bills: __________ _________ Dimes (Rolled) __________
_________ Dimes (Loose) __________
_________ Nickels (Rolled) __________
_________ Nickels (Loose) __________
Total Coins: __________
TOTAL AMOUNT FOR DEPOSIT: _________________
Please print this form and submit with your deposit to: Accounts Receivable Department. Room 420, CHT. Remember cash
should never be sent via interoffice mail.
ACCOUNTS RECEIVABLE DEPARTMENT USE ONLY
Approved by: _____________________ Date: __________________
Comments: ________________________________________________________________ Page 2 of 2
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