Deposit Transmittal

LBCMP LBFDN LB49R

Coin Amount

Cash Amount

No. of Checks

Check Amount

No. of Credit Cards

Credit Crd Amount

Wire Amount

Total Funds

Department Signature

Date

Cashier's Name (please print)

Cashier's Signature

Date

For Office Use Only

Attach all deposits and supporting documentation to this Deposit Transmittal form and deposit to main Cashier's Office at BH-148. Form Rev. Date: 2021-11

California State University Long Beach

Deposit Transmittal