THE UNIVERSITY OF TEXAS AT SAN ANTONIO

Date __________________________

DEPOSIT TRANSMITTAL FORM

 

 

 

Total of Checks

 

____________________

 

 

Department:                                             Phone#:

 

 

Total of Cash

 

____________________

 

Received From:

 

Total of Credit Cards

 

____________________

 

 

       (Please Note the Description Field in Banner is limited to 30 characters)

For:

 

Account Number

 

Code

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

Prepared by___________________________Supervisor_____________________________________________________

                                                                                                                                 Print Name                       /              Signature (required)

1-Bursar's Office

1-Department

 

THE UNIVERSITY OF TEXAS AT SAN ANTONIO

Date __________________________

DEPOSIT TRANSMITTAL FORM

 

 

 

Total of Checks

 

____________________

 

 

Department:                                             Phone#:

 

 

Total of Cash

 

____________________

 

Received From:

 

Total of Credit Cards

 

____________________

 

 

       (Please Note the Description Field in Banner is limited to 30 characters)

 

For:

 

Account Number

 

Code

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

Prepared by ___________________________Supervisor____________________________________________________

                                                                                                                                 Print Name                       /              Signature (required)

1-Bursar's Office

1-Department