Transcription of Standard Form 1149, Statement of Designated Depositary ...
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Example: tourism industry
Standard Form 1149, Statement of Designated Depositary ...
Standard form 1149 Revised March 1982 Dept. of the Treasury1 TFRM 4-8000 Statement OF Designated Depositary ACCOUNTNAME OF DISBURSING OFFICER OR CASHIERNAME (Funds advanced by)STATION OR OFFICENAME OF DEPOSITARYLOCATION OF DEPOSITARYACCOUNT NUMBER (or other designation) as shown on Depositary statementACCOUNTING PERIODFromToMONETARY UNIT OF THIS ACCOUNT(SEE REVERSE SIDE FOR LINE INSTRUCTIONS) 1. Check-book balance at close of previous period .. 2. Deposits to official credit: Transfers Others 3. Checks canceled this period .. 4. Undeliverable checks credited this period .. 5. Adjustments .. 6. Uncurrent checks .. 7. TOTAL TO BE ACCOUNTED FOR .. 8. Total checks drawn this period .. 9. Uncollectible checks returned by Depositary ..10. Adjustments ..11. TOTAL ..12. Check-book balance close of period ..RECONCILIATION13. Balance per bank Statement .
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