| NHLA | ||||||||
| NEW HAMPSHIRE LIBRARY ASSOCIATION | ||||||||
| DEPOSIT FORM | ||||||||
| Date: | ||||||||
| Deposit Amounts: | ||||||||
| Cash: | ||||||||
| Checks: | (Attach copies of checks, if applicable) | |||||||
| Total: | (Attach copies of checks, if applicable) | |||||||
| DEPOSIT FROM THE FOLLOWING ACTIVITY: _________________________________________ | ||||||||
| Deposited by: | ||||||||
| Name | NHLA Title | |||||||
| - - - - - - - - - - - - - - - - - - - - - - - - - - - (Forward to NHLA Treasurer) - - - - - - - - - - - - - - - - - - - - - - - - - | ||||||||
| Deposit to: | ||||||||
| Bank/Broker Name | Bank/Broker Acct# | Fund Name | Acct. Classification | Amount | ||||
| Total Amount: | ||||||||
| NHLA Treasurer: | Date: | |||||||
| Treasurer's Notes: | ||||||||
| - - - - - - - - - - - - - - - - - - - - - - - - - - - (Forward to Accountant) - - - - - - - - - - - - - - - - - - - - - - - - - | ||||||||
| Accountant's Notes: | ||||||||
| INCORPORATED 1889 | ||||||||