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California State University, Long BeachCalifornia State University, Long Beach

Request for Batch Transmittal


INSTRUCTIONS:


1. Complete the form and use the button below to display a printer friendly version.

2. Print the "Printer Friendly Version" of the form.

3. Return the form with signatures to the Bursar's Office at BH-155.


Fields with * are required.







REQUESTOR INFORMATION




TENDER AMOUNT




PEOPLESOFT CHARTFIELD


Description Cashnet Code (if applicable) Account Fund Dept ID Program Class Project Amount
$
$
$
$
$


TOTAL DEPOSIT $







Cashiers' Office Validation

Department Signature
Date

Cashier's Signature
Date


(Indicates receipt of this memo; documents attached will be validated separately)



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