Fillable Form 1: BILLING RECEIVABLES SYSTEM Batch Transmittal Form (Western Illinois University)

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Form 1: BILLING RECEIVABLES SYSTEM Batch Transmittal Form (Western Illinois University)

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BILLING RECEIVABLES SYSTEM
Batch Transmittal Form
Originating Dept: Originator Name: Total Record Count: Net Record Dollars:
Batch Description: Total Debit Count Total Debit Dollars:
Authorized Signature: Total Credit Count Total Credit Dollars:
Subcode Account # Account Name Acct Ref Amount D/C
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Date Received For Billing & Receivables Office Use Only
Batch ID:__________________________ Batch Count: ________ Batch Total: ________________
Batch Date: _______________________ Batch Entered By: ________________________________
BILLING RECEIVABLES SYSTEM
Batch Transmittal Form
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Form 1: BILLING RECEIVABLES SYSTEM Batch Transmittal Form (Western Illinois University)

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Completed 9 February 2021

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