UNIVERSITY OF PITTSBURGH FORM INSTRUCTION GUIDE 

FORM NUMBER:      FORM 0012

FORM TITLE:            Cash Report

PROCEDURE:           05-06-02

EFFECTIVE DATE:    August 25, 1989

PAGE (S):                   2

 

Complete a Cash Report - FORM 0012 by entering the following information where indicated:

ENTRY DATA

1.   Responsibility Center Code: Refer to DED Table 18205

2.   Departmental Name: Limit to 30 characters; Refer to SPI 6, or DED Table 18321

3.   Room number and Building abbreviation: Refer to SPI 9

4.   Area code and telephone number

5.   Report number: Department control number

6.   Dates to/from: MM/DD/YY

DESCRIPTION OF DEPOSIT

7.   Account number: Ledger-Unit Code-Subcode (L-UUUUU-SSS)

8.   Entry code: 31, unless other entry code is more appropriate, e.g.:

      30, Student tuition and fees

      32, Accounts receivable payments

      33, Sponsored programs

      34, Investment income

      35, Gifts

      36, State appropriation

      37, Bank transfers

      38, Investment proceeds

      39, Loan proceeds

9.   Description of deposit: Limited to 20 characters; attach additional information to back of

      form

10. Amount: Dollar amount to be credited to specified account

CERTIFICATION BY ORIGINATOR

11. Cash: Amount of currency and coins

12. Checks & money orders: Amount of checks and money orders

13. Total: Sum of currency, coins, checks, and money orders

14. Certified correct by: Signature of report preparer

15. Title: Working title of preparer

16. Date: Date of the report, MM/DD/YY

VERIFICATION OF RECEIPT

17. Received from: Signature of department representative

18. Date: Date received, MM/DD/YY

19. Time: Time received, HH:MM am/pm

20. Cashier's signature: Signature of receiving cashier

21. Cashier's stamp: Validation of receipt on white and pink copies

VERIFICATION OF DEPOSIT

22. Amount deposited: Total amount from bank deposit receipt

23. Date of Deposit: Actual date of deposit, MM/DD/YY

24. Bank Account Identification Code: 3-character code of bank account to which deposit

      was made

25. Deposit Prepared By: Signature of depositor

26. Cashier's Stamp: Validation of deposit on canary copy

DATA CONTROL - GENERAL ACCOUNTING

27. Voucher Number: Financial system identification number