MISSISSIPPI UNIVERSITY FOR WOMEN
Receipt Form
Banner Codes:
Fund #
Organization #
$ Amount
Total
Amount Turned In
Cash
Checks
Mastercard/Visa
Total
Contact Person :
Department :
Extension :
W-Box :
Date :
If there is cash involved you MUST wait for it to be verified by a cashier.
Signature for verification of cash :
Univ. Accounting Signature :
Department Signature :
Special Instructions: If you would anything noted on the receipt, please
make note here:
Revised 10-07-13
Print Form
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