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Get Fillable Deposit Slip

L Code or any applicable collection agreement. DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL DATE DOLLARS CURRENCY COIN CHECKS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 TOTAL PLEASE ENTERATOTAL HERE CENTS COIN COUNT- FOR OFFICE USE ONLY X 1.00 X .50 X .25 X .10 X .05 X .01 TOTAL COIN $ CURRENCY COUNT- FOR OFFICE USE ONLY X 100 X 50 X 20 X 10 X 5 X 2 X 1 TOTAL CURRENCY $ TOTAL COIN & CURR. $.

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  3. Fill out all of the requested boxes (they will be marked in yellow).
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  5. Put the date.
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