University of Wisconsin - La Crosse
Deposit Remittance Form
Print TWO Copies and Send ONE to Cashier's Office, 121 Graff Main Hall
Submitted By |
Date to Cashiers | ||
Unit / Department |
Phone # | ||
Send Receipt To |
Room & Bldg. |
TAXABLE SALES OR OTHER REVENUE |
| Dept ID # (6 digits) |
Acct # (XXXX) |
Description (required) |
Amount (94XX) |
5% State Sales Tax (9224) |
0.5% County Sales Tax (9220) |
Total Amount |
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EXPENDITURE REIMBURSEMENTS
(Send reimbursement deposits to Kathy Hanratty at 125 Graff
Main Hall & submit all relevant backup)
| Department ID # |
Account # | Voucher # | Description (Required) |
Amount |
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