THE UNLV FOUNDATION



|[pic] |THE UNLV FOUNDATION | |

| |MONETARY TRANSFER FORM | |

| |(Use one form for each account) | |

|Date |Department |Amount |

|Transfer from Foundation Account Name |Foundation Account Number |

|UNLV Foundation | |

|Transfer to University Account Name |University Account Number |

|Board of Regents | |

|Use/Purpose Must conform with terms under which contributions to this fund were accepted. |

|If Foundation account name does not match BOR account name , please get Foundation approval. |

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| Multiple Transfer |

|A monetary transfer from the UNLV Foundation to the University is made with the express agreement by the University that the funds will be expended in |

|accordance with University policy, in adherence to the general charitable purposes of the UNLV Foundation and in conformance with any restrictions imposed by |

|the donor or Foundation as to the use or purpose of the specific fund. |

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|Prepared By Name |Mail Code |Extension |

DEPARTMENTAL APPROVAL/SIGNATURES

|Submitted By | | |

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|Account Administrator’s Signature | |Department |

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|Dean’s Signature | |College |

UNLV FOUNDATION APPROVALS/SIGNATURES

Foundation Use Only

| | | |

| Signature | | Date |

|Tiffany L. Cabral | | |

|Chief Financial Officer | | |

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UNLV FOUNDATION ACCOUNTING USE ONLY

| | | | |Date | |

| | |R# | |By | |

|Job # 282 21516 | | | | | |

| | |(Receipt Number) | | | |

|Revised 6/2/2015 | | | | | |

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