Fillable Printable Cash Receipt Adjustment

Cash Receipt Adjustment

Rev. 2/23/00 cashadj EXCEL 5.0

CASH RECEIPT ADJUSTMENT

Iowa State University

Accounting Office

3606 ASB

You must complete all sections above the heavy black line.

A copy of the Departmental Statement (or Transaction Detail screen printout) with the items highlighted must be attached.

Receipt Ref. FROM TO

Date No. Amount Fund-Acct Sec Proj Class O/S Fund-Acct Sec Proj Class O/S

Explain why adjustment is appropriate (be specific)

I hereby certify that, to the best of my knowledge, the above statements are true and that the adjustments are in

accordance with funding regulations.

Department Head

Type name Signature

Date __________________________________

Prepared by:

DO NOT WRITE IN THIS SECTION - TO BE COMPLETED BY BUSINESS OFFICE

Approved:

Sponsored Programs Accounting Asst. Accounting Manager

Controller Date Processed

Rev. 2/23/00 cashadj EXCEL 5.0

Forward the original to the Accounting Office, 3606 ASB.