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Form GA-082a Rev 04/07/00
North Carolina State University
Cash Receipt Certification
Certification of receipt of cash from NC State University in connection with
(1)I certify that I received cash in the amount of $for
(2)I certify that I received cash in the amount of $for
(3)I certify that I received cash in the amount of $for
(4)I certify that I received cash in the amount of $for
(5)I certify that I received cash in the amount of $for
I hereby certify that I have disbursed the stated amounts and have reviewed proper identification of each
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