Standard Form 1098, Schedule Of Canceled Or Undelivered Checks

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STANDARD FORM 1098
SCHEDULE OF CANCELED OR
Revised July 1980
UNDELIVERED CHECKS
Department of the Treasury
I TFRM 4-7000
CANCELED:
UNDELIVERED:
1098-110
DEPARTMENT OR ESTABLISHMENT
SCHEDULE NUMBER
BUREAU OR OFFICE
SHEET NUMBER
LOCATION
D.O. SYMBOL NO.
ACCOUNTING PERIOD
AGENCY LOCATION CODE (ALC)
SYMBOL OF
VOUCHER
DATE OF
APPROPRIATION
CHECK NUMBER
PAYEE
NUMBER
AMOUNT
ISSUE
OR FUND TO BE
APPLICABLE
CREDITED
0.00
TOTAL
(Date)
DATE OF DEPOSIT TICKET
FORWARD
The amount of the above check(s) was deposited for credit
in the account of the U.S. Treasury,
on deposit ticket no.
(Name)
BY
DISBURSING OR ACCOUNTABLE
DATE
TITLE
NSN 7540-00-634-4287
PREVIOUS EDITION NOT USABLE
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