HTML Preview Simple Cash page number 1.
DATE: _____/ _____/ _____ CASH RECEIPT NO. ________________________
XAVIER UNIVERSITY
BANK FUND: ________________
RECEIVED FROM: ____________________________________________________________________________________________________
FOR:
____________________________________________________________________________________________________________________
(Enter FUND or ORG., but NOT both) (Maximum - 35 Characters)
FUND ORG. ACCOUNT PROG. AMOUNT DESCRIPTION
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ $ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
TOTAL $ _______________ . ____
Type of Remittance:
Currency/Coin $ _______________________ . ______ Remarks: _________________________________________________________________
Checks/Wires _______________________ . ______ ____________________________________________________________________________
Credit Cards _______________________ . ______ ____________________________________________________________________________
TOTAL _______________________ . ______ ____________________________________________________________________________
NOTE: Credit card deposits MUST be on a separate receipt. Please attach tape with deposit
Deposited By: ___________________________________ Received By: ________________________________________________
(Signature) (Signature)
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DATE: _____/ _____/ _____ CASH RECEIPT NO. ________________________
XAVIER UNIVERSITY
BANK FUND: ________________
RECEIVED FROM: ____________________________________________________________________________________________________
FOR:
____________________________________________________________________________________________________________________
(Enter FUND or ORG., but NOT both) (Maximum - 35 Characters)
FUND ORG. ACCOUNT PROG. AMOUNT DESCRIPTION
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ $ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
__ __ __ __ __ __ ___ ___ ___ ___ ___ __ __ __ __ __ __ __ __ __ __ _______________ . _____
TOTAL $ _______________ . ____
Type of Remittance:
Currency/Coin $ _______________________ . ______ Remarks: _________________________________________________________________
Checks/Wires _______________________ . ______ ____________________________________________________________________________
Credit Cards _______________________ . ______ ____________________________________________________________________________
TOTAL _______________________ . ______ ____________________________________________________________________________
NOTE: Credit card deposits MUST be on a separate receipt. Please attach tape with deposit
Deposited By: ___________________________________ Received By: ________________________________________________
(Signature) (Signature)
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Note: Currency, Check and Credit Card deposits MUST be on a separate receipt.
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Note: Currency, Check and Credit Card deposits MUST be on a separate receipt.
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