North Carolina State University Cash Receipt Certification
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1North Carolina State University
Cash Receipt Certification
Certification of receipt of cash from NC State University in connection with
(1)
I certify that I received cash in the amount of $
for
Signature
Address
(2)
I certify that I received cash in the amount of $
for
Signature
Address
(3)
I certify that I received cash in the amount of $
for
Signature
Address
(4)
I certify that I received cash in the amount of $
for
Signature
Address
(5)
I certify that I received cash in the amount of $
for
Signature
Address
I hereby certify that I have disbursed the stated amounts and have reviewed proper identification of each
individual listed above:
Date
(Signature of Custodian)
Form GA-082a Rev 04/07/00
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Parent category: Business