DLR Bank Deposit

• Date

  Date

• SDI#

• Prepared by

Deposit 1

• Deposit Amount

• Person who made the deposit and entered into Micros / Infor

• Person who took deposit to the bank

• If applicable Bag #

• Picture of first deposit slip

  Media

Deposit 2

• Deposit Amount

• Person who made the deposit and entered into Micros / Infor

• Person who took deposit to the bank

• If applicable Bag #

• Picture of second deposit slip

  Media

Deposit 3

• Deposit Amount

• Person who made the deposit and entered into Micros/Infor

• Person who took deposit to the bank

• If applicable Bag#

• Picture of third deposit slip

  Media

Deposit 4

• Deposit Amount

• Person who made the deposit and entered into Micros/Infor

• Person who took deposit to the bank

• If applicable Bag#

• Picture of fourth deposit slip

  Media

Deposit 5

• Deposit Amount

• Person who made the deposit and entered into Micros/Infor

• Person who took deposit to the bank

• If applicable Bag#

• Picture of fifth deposit slip

  Media

Verification

• Person that verified deposit slips

• Signature of Partner or Manager

  Sign