|
Today's Date: |
Format
mmddyy. |
|
Date Payment Reqd: |
Allow 3-5 days for processing. |
|
Originating Dept: |
Brown
department requesting payment. |
|
Bank Name & Address: |
Receiving
bank information, include street address, country and
bank ABA number. |
|
Payee
Name & Address:
|
Name
of party ultimately receiving |
|
Payee
Acct No.:
|
Account
number of payee at the receiving bank. |
| Transfer
Amount: |
Amount stated in currency requested by payee. Indicate
currency. |
| Payee's
Name: |
Name
of party receiving payment. |
| Amount
of draft: |
Amount
stated in foreign currency.Indicate currency. |
| Dept
Acct numbers |
FRS
6-digit account(s) and 4-digit subcode(s) to be charged.
|
| Special
Instructions |
Information
to help in identifying transaction at the receiving end,
i.e. account numbers, order no. etc.. |
