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Published byIda Geisler Modified over 5 years ago
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North 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 I certify that I received cash in the amount of $ for (2) Signature Address I certify that I received cash in the amount of $ for (3) Signature Address I certify that I received cash in the amount of $ for (4) Signature Address I certify that I received cash in the amount of $ for (5) Signature Address I hereby certify that I have disbursed the stated amounts and have reviewed proper identification of each individual listed above: (Signature of Custodian) Date Form GA-082a Rev 04/07/00 Downloaded from
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