Presented BY: (Committee)	Date:
Date Deposited:
Cash:	Quantity	Total
Checks: #	From	Amount
100’s
50’s
20’s
10’s
5’s
1’s
.50
.25
.10
.05
.01
Total Cash

Notes:

Total itemized on other side
Total Cash & Checks
Total Checks
Signatures:

________________________________________	________________________________________

Committee Representative	Treasurer or Treasurer Representative

Funds Transfer Form

Nan Scott

2018-02-06

Crop and Soil Science