UNIVERSITY OF PITTSBURGH / FORM INSTRUCTION GUIDE



FORM TITLE:              CASH REPORT
NUMBER:                  FORM 0012
PROCEDURE:               05-06-02



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