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TRANSFER OF FUNDS REQUEST FORM

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TRANSFER OF FUNDS REQUEST FORM Powered By Docstoc
					                                                                                                           Close Fund?
When completed,                                                                                            (Transfer balance
                                                                                                           plus STIP.)
send to Box 0248                                                                                            Check for Yes.



                                      TRANSFER OF FUNDS REQUEST FORM
DATE                         DEPARTMENT                                                      AMOUNT TO BE TRANSFERRED


TRANSFER FROM FOUNDATION                         FUND NAME:
                                                 FUND NUMBER:
TRANSFER TO REGENTS                              FUND NAME:
Regents fund # must be in the range
40000-56999 or 80000-80999.                      FUND NUMBER:                                DPA:
                                                 DEPCODE:
                                                 NEEDS NEW MIRROR FUND #?           Yes
USE/PURPOSE
Must conform to terms under which contributions to the fund were made.




A monetary transfer from the UCSF Foundation to the University is made with the express agreement that the funds will be expended
in accordance with University policy, and in conformance with any restrictions imposed by the donor or the Foundation as to the use or
purpose of the specific fund.

PREPARED BY                      CAMPUS ADDRESS                                              EXTENSION


DEPARTMENTAL APPROVAL/SIGNATURE       Signature affirms responsibility for control and expenditure
                                      of funds for purpose stated above.
_______________________________________                                    ________________
Person authorized to expend UCSF Foundation Funds                                                   Date



                                           SHADED AREA FOR UCSF FOUNDATION USE ONLY

APPROVED FOR THE FOUNDATION

______________________________________________                                            ________________
                          Authorized Signature                                                      Date




UCSF GIFT ADMINISTRATION USE ONLY

______________________________________________                                             _________________
                      MR Number                                                            Date



UCSF ACCOUNTING USE ONLY

_______________               ______________          _____________                       _____________________
Verification (Initials)        Check Number            Check Date                                 Journal

				
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