NCC BURSAR’S OFFICE
Deposit Transmittal
Please fill out completely and print legibly. Return with your deposits. All deposits should be handcarried to the Bursar’s Office Main Campus or Monroe Office - please do not mail funds. Thank you!
Date ________________________
NCC Departmental ID # ____________________________
Dept. Name_____________________________
Event Description _____________________________
Person Depositing Funds ________________________________
DEPOSIT BREAKDOWN
Office Use Only
CASH Denominations:
Qty.
Amount
$100
_______
x 100
$ _________. ______
_____________________
$50
_______
x 50
$ _________. ______
_____________________
$20
_______
x 20
$ _________. ______
_____________________
$10
_______
x 10
$ _________. ______
_____________________
$5
_______
x
5
$ _________. ______
_____________________
$1
_______
x
1
$ _________. ______
_____________________
.50
_______
x .50
$ _________. ______
_____________________
.25
_______
x .25
$ _________. ______
_____________________
.10
_______
x .10
$ _________. ______
_____________________
.05
_______
x .05
$ _________. ______
_____________________
CASH TOTAL:
$ _________. ______
CHECKS: write account # on each check $ _________. ______
TOTAL DEPOSIT:
$
========. ======
Funds to be deposited into:
FUND#
CENTER #
(2 digits)
(4 digits)
Cashier initials ________
ACCOUNT#
(4 digits)
PROJECT#
(4 char.)
Amount by Account #
________
________
________
________
$ __________.______
________
________
________
________
$ __________.______
________
________
________
________
$ __________.______