Gift Deposit and Log Form
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Department: Date:
Cash Deposit Form Number:
Total Check Total Cash Credit Card Total Gift
Donor Name Check # $ $ $ Amount
Account Number:
Index Fund Org Acct Pgm
Receipt Number:
Date:
Cashier:
Preparer's Signature Supervisor's Signature
By signing above, the preparer and supervisor verify that either no goods and services were provided for the
listed gifts; or by checking here___________, goods/services were provided and a detailed memo is attached.
Total Deposit
Business Office Copy
$0.00
$0.00
$0.00
$0.00
$0.00
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REVISED 10/17
Gift Deposit and Log Form
Department: Date:
Cash Deposit Form Number:
Total Check Total Cash Credit Card Total Gift
Donor Name Check # $ $ $ Amount
Account Number:
Index Fund Org Acct Pgm
Receipt Number:
Date:
Cashier:
Preparer's Signature Supervisor's Signature
By signing above, the preparer and supervisor verify that either no goods and services were provided for the
listed gifts; or by checking here___________, goods/services were provided and a detailed memo is attached.
Total Deposit
GRSC Copy
$0.00
$0.00
$0.00
$0.00
REVISED 10/17