Inter Dept Billing by 490Z1n

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									                                                                                                                                                                             CALS Business Services Only
                    Inter Departmental Billing Form                                                                                       Transfer Jrnl ID#:      JRB
                    Accounting Services
                    University of Wisconsin-Madison 21 N. Park Street, Suite 6101, Madison, WI 53715                                                                    Submit Completed Forms to:
                                                                                                                                                                            Accounting Services
                                                                                                                                                                        21 N. Park Street, Suite 6101
   Prepared
        By:                                                                      Department Name & #:                                             Phone #:
                                  Required                                                                           Required                                           Required

      Email
   Address:                                                                             Date of Request:                                       Fiscal Year:


  Billing
  Details:

DEBIT: (Charge)
                                                                                 Amount - Enter as
                                            Activity          Class                Positive ( + )                                            Journal
  Dept #      Fund Prgm        Project        ID     Account (Bldg#)                Amounts                Description - REQUIRED FIELD     Reference          Reference #       Voucher ID                Invoice #




Add Debit Row
                                                           Total Debits:                          $0.00
CREDIT: (Billing Department)
                                                                                 Amount - Enter as
                                            Activity          Class                Negative ( - )                                            Journal
  Dept #      Fund Prgm        Project        ID     Account (Bldg#)                Amounts                Description - REQUIRED FIELD     Reference          Reference #       Voucher ID                Invoice #




Insert Credit Row                                           Total Credits:                        $0.00

								
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