NEWGF173-12a(F381f) Deposit Advice - Wing
Date Submitted
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Unit Name and Charter Number
*
Please Select
NCR-NE-001 Nebraska Wing
NCR-NE-002 General Curtis Lemay Offutt
NCR-NE-004 Columbus
NCR-NE-010 Fremont
NCR-NE-019 Omaha
NCR-NE-056 Pine Ridge
NCR-NE-058 155th
NCR-NE-068 Capital City
NCR-NE-073 Sandhills
NCR-NE-089 99th Pursuit
NCR-NE-093 Lee Bird
NCR-NE-094 Tri-Cities
NCR-NE-800 Burke High School
NCR-NE-999 Nebraska State
Other
Email of person submitting form
example@example.com
Account Numbers
Item 1 Received From
*
Item 1 Received Account Number
*
Item 1 Purpose
*
Item 1 Check or Cash
*
Please Select
Check
Item 1 Amount
*
Do not included dollar sign
Item 2 Received From
Item 2 Purpose
Item 2 Received Account Number
Item 2 Check or Cash
Please Select
Check
Item 2 Amount
Do not included dollar sign
Item 3 Received From
Item 3 Purpose
Item 3 Received Account Number
Item 3 Check or Cash
Please Select
Check
Item 3 Amount
Do not included dollar sign
Total
Upload Documents
*
Browse Files
Drag and drop files here
Choose a file
Upload receipts, bank deposit slips, and other pertinent data (pdf, rtf, jpg, jpeg, png, gif)
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of
Name of Finance Officer, Squadron Commander, or person depositing funds
*
First Name
Last Name
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature of Finance Officer, Squadron Commander, or person depositing funds
*
Date Received at Wing
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
FOR USE ONLY BY WING ADMINISTRATOR OR FINANCE OFFICER
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Send completed form to you to sign and send to wing
Send completed form to you to sign and send to wing
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