NEO A&M College Development Foundation
Club/Organization Name:
Date Submitted:
Account Number:
Department Signature:
Total Deposit Amount:
Complete the following information for your deposit:
CASH
QTY
TOTAL
CHECK #
CHECK
AMT
$100.00
$ 50.00
CHECK #
$ 20.00
$ 10.00
$ 5.00
$ 1.00
$ 0.25
$ 0.10
$ 0.05
$ 0.01
TOTAL CASH:
Deposit Memo:
Donation Letter Y N
FOUNDATION USE ONLY
Accepted by:
Date:
Class Code:
Revenue Code:
TOTAL CHECKS:
DEPOSIT FORM
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