2016.094.145
Form
Credit - Coin Deposit
One "Credit" form for a "Coin Deposit with Federal Reserve Bank of Chicago, Detroit Branch." The 4-sheet carbonless paper form consists of a pale yellow top sheet, a pale red second sheet, a pale blue third sheet, and a pale green bottom sheet. All four sheets are printed in black text and have blank spaces for the sender's name, date, quantities for each coin denomination, total amount, and receipt signature.
Request Image