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Deposit Form
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Depositor Name:
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[SOURCE] How were the funds acquired?
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Amount: 
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[DENOMINATION] How are the funds denominated?
TypeQuantAmount
Checks
Cash ($100)
Cash ($50)
Cash ($20)
Cash ($10)
Cash ($5)
Cash ($1)
Coin n/a
Total:$



Please contact the Bank Manager at capgroup-bm@sse.stanford.edu prior to submitting this deposit if you are unsure if it contains a charitable contribution.
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