Bank Rec Form UPD 2005 06 by Smjt2G

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									             TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
                                                           Bank Reconciliation Form

                                                                      General Information

Bank Name:                                                                  Bank Account Number:                                                        GL Acct:

                                         mm           dd           yyyy
Ending Bank Statement / GL Date:               /            /                     Bank Account Name:



                                                                             Reconciliation

Bank Balance (per bank statement)                                                                                                                           $

Deposits in Transit                                             Please check box at left if the detail is listed on the separate attached sheet.


       DEPOSIT DATE                                DEPOSIT DESCRIPTION (including CR number)                                             AMOUNT

      /        /
      /        /
                                                                                                           ADD: Total Deposits in Transit                                          -

Outstanding Payments / Adjustments                              Please check box at left if the detail is listed on the separate attached sheet.


      PAYMENT DATE                 PMT NBR / DOC ID                      PAYEE NAME / DESCRIPTION                                        AMOUNT

      /        /
      /        /
      /        /
      /        /
                                                                 SUBTRACT: Total Outstanding Payments / Adjustments                                                                -

Adjusted Bank Balance                                                                                                                                      $                       -


General Ledger (GL) Balance

Bank Charges and NSF Chargebacks                                Please check box at left if the detail is listed on the separate attached sheet.


      DATE CHARGED                                    CHARGE / CHARGEBACK DESCRIPTION                                                    AMOUNT

      /        /
      /        /
      /        /
                                                                    SUBTRACT: Total Bank Charges and NSF Chargebacks                                                               -

Other GL Adjustments                                            Please check box at left if the detail is listed on the separate attached sheet.


     ADJUSTMENT DATE                                       ADJUSTMENT DESCRIPTION                                                        AMOUNT

      /        /
      /        /
      /        /
                                                                                                    ADD: Total Other GL Adjustments                                                -

Adjusted General Ledger Balance                                                                                                                            $                       -


                                                                                                                                                                   /         /
                 PREPARER NAME                                                                 PREPARER SIGNATURE                                                  DATE PREPARED

                                                                                                                                                                   /         /
                 REVIEWER NAME                                                                 REVIEWER SIGNATURE                                                  DATE REVIEWED


                                                                                                                                             Accounting Services Approvals
                   Accounting Services                                                                                                  Initials                    Date
  SUBMIT TO:       STOP 6274                                                 Form Updated June 2005
                   Lubbock Campus
-   Unreconiled Difference
             TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
                                                   Bank Reconciliation Form

                                                            General Information

Bank Name:                                                       Bank Account Number:                                        GL Acct:

                                   mm         dd          yyyy
Ending Bank Statement / GL Date:        /            /                Bank Account Name:



                       Deposits in Transit Detail                   (Please be sure that the applicable box on cover page is marked)

       DEPOSIT DATE                         DEPOSIT DESCRIPTION (including CR number)                       AMOUNT

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          VARIOUS             SEE ADDITIONAL ATTACHED LIST
                                                                                               Total Deposits in Transit                -
             TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
                                                           Bank Reconciliation Form

                                                                General Information

Bank Name:                                                            Bank Account Number:                                     GL Acct:

                                         mm           dd       yyyy
Ending Bank Statement / GL Date:               /           /             Bank Account Name:



          Outstanding Payments / Adjustments Detail                                  (Please be sure that the applicable box on cover page is marked)

      PAYMENT DATE                 PMT NBR / DOC ID               PAYEE NAME / DESCRIPTION                     AMOUNT

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          VARIOUS             SEE ADDITIONAL ATTACHED LIST
                                                                               Total Outstanding Checks / Adjustments                                   -
             TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
                                                 Bank Reconciliation Form

                                                        General Information

Bank Name:                                                   Bank Account Number:                                        GL Acct:

                                   mm       dd        yyyy
Ending Bank Statement / GL Date:        /        /              Bank Account Name:



           Bank Charges and NSF Chargebacks Detail                            (Please be sure that the applicable box on cover page is marked)

      DATE CHARGED                          CHARGE / CHARGEBACK DESCRIPTION                              AMOUNT

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          VARIOUS             SEE ADDITIONAL ATTACHED LIST
                                                                     Total Bank Charges and NSF Chargebacks                                      -
             TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
                                                 Bank Reconciliation Form

                                                        General Information

Bank Name:                                                   Bank Account Number:                                       GL Acct:

                                   mm       dd        yyyy
Ending Bank Statement / GL Date:        /         /             Bank Account Name:



                    Other GL Adjustments Detail                 (Please be sure that the applicable box on the cover page is marked)

     ADJUSTMENT DATE                             ADJUSTMENT DESCRIPTION                                AMOUNT

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          VARIOUS             SEE ADDITIONAL ATTACHED LIST
                                                                                     Total Other GL Adjustments                        -

								
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