+--------------------+--------------------------+----------------------+
| ![]                | ######                   | ![](media/           |
| (media/image1.png) | # UTAH WING HEADQUARTERS | image2.png){width="1 |
|                    |                          | .2326388888888888in" |
|                    | **CIVIL AIR PATROL**     | height="1.           |
|                    |                          | 2548611111111112in"} |
|                    | **640 North 2360 West**  |                      |
|                    |                          |                      |
|                    | **Salt Lake City, Utah   |                      |
|                    | 84116**                  |                      |
+--------------------+--------------------------+----------------------+

#  Unit Deposit Record

DATE: [     ]{.underline}

UNIT NAME: [     ]{.underline}

DATE OF DEPOSIT: [     ]{.underline}

CHARTER NUMBER: UT-[   ]{.underline}

+---+---------------------+------------------+--------------+-------+
| # | ##### RECEIVED FROM | ## DESCRIPTION   | ###          | ##    |
| # |                     |                  | ## CHECK \#  | ### A |
| # |                     |                  |              | MOUNT |
| # |                     |                  | #            |       |
| # |                     |                  | #### Or CASH |       |
|   |                     |                  |              |       |
| L |                     |                  |              |       |
| I |                     |                  |              |       |
| N |                     |                  |              |       |
| E |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 1 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 2 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 3 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 4 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 5 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 6 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 7 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 8 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 9 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 1 |                     |                  |              |       |
| 0 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 1 |                     |                  |              |       |
| 1 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| 1 |                     |                  |              |       |
| 2 |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+
| * |                     |                  |              | **\$0 |
| * |                     |                  |              | .00** |
| T |                     |                  |              |       |
| O |                     |                  |              |       |
| T |                     |                  |              |       |
| A |                     |                  |              |       |
| L |                     |                  |              |       |
| D |                     |                  |              |       |
| E |                     |                  |              |       |
| P |                     |                  |              |       |
| O |                     |                  |              |       |
| S |                     |                  |              |       |
| I |                     |                  |              |       |
| T |                     |                  |              |       |
| : |                     |                  |              |       |
| * |                     |                  |              |       |
| * |                     |                  |              |       |
+---+---------------------+------------------+--------------+-------+

COMMENTS:      

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  Squadron Commander or Finance Officer submitting funds for deposit
  -----------------------------------------------------------------------