CASH RECEIPT CASH RECEIPT by hqa20347

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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)
                                                                 Return this original to the Athletic Business Office - ML 7530
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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)

      Return this copy to the Athletic Business Office ML 7530                                                                            Print Form                                                                     Reset Form

								
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