DEPOSIT TRANSMITTAL                                                     For a printable form, click below:
                                                                                                      Deposit Transmittal Form - Cash or Check
                                                                                                      Deposit Transmittal Form - Credit Card

TO:     Cathy LaRue, Section Administrator            (757) 363-1760 Telephone
            Virginia Section AWWA                               (757) 363-1720 FAX
            P. O. Box 55420
            Virginia Beach , VA 23471-9420

DATE:             ___________________

SUBJECT:       Transmittal of Funds for Deposit  

This income was received as payment or registration as described below: 

Committee Name             ___________________________________ 

Activity Description        ___________________________________ 

Budgeted Committee Income Item? ___ yes      ___no
If so, what budget code and category should income be credited to? (Refer to budget)
                        Code             ____________
                        Category       ______________

Enclosed are: ______ checks total             $___________and
                                                                   $___________in cash
                         Total this Deposit            $___________ (Attach adding machine tape to
                                                                                             support total) 

Respectfully Submitted:             _______________________________      ________________
                                                              Signature                                              Telephone No.