SAMPLE TRANSFER MEMO



The Children’s Hospital of Philadelphia

Memorandum Authorizing Transfer of Funds

“2nd Annual Chronic Lung Disease”

March 10, 2016

TO: Micah Holliday, Registrar, Continuing Medical Education Department

CHOP North, 12th Floor, Suite 1220, Ext. 4-5263

FROM: ____________________________________ ________________________________

(Insert Name of Nurse or Business Manager) (Insert Name of Nursing Unit or Division)

*Must have sign authority for cost center*

DATE: (Insert Date)

SUBJECT: Transfer of funds for payment of Registration Fee(s)

This memorandum authorizes the total payment of $____________ for registration fees for the following CHOP Staff registrants:

|Name of Registrant | |TRANSFER FROM: |TO: Conference Account |

|(Please Print) |$*Amount: |Account # -83300 sub |# 24700-68100-528565-0316 |

| | |(Lawson Cost Center #) | |

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NOTE:

1. *Conference Registration Fees for Internal CHOP Employees: $125

2. This revenue transfer memo is for the purpose of authorizing the payment for CHOP staff internal registration fees.

3. All CHOP employees must complete a Registration Form, which must accompany this transfer memo.

**Managers: Please contact CME office for ALL new forms. DO NOT COPY OR REVISE!!**

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