TO: PROPERTY CONTROL OFFICER             DATE:_____________________

PLEASE MAKE THE FOLLOWING TRANSFER OF EQUIPMENT ON MISSISSIPPI UNIVERSITY FOR WOMEN INVENTORY RECORDS.

IS THIS A TEMPORARY TRANSFER? _____ YES    _____ NO

DURATION OF TRANSFER: ___________________________

TRANSFER TO: _________________________________________________________

TRANSFER FROM: ______________________________________________________

         BUILDING___________________________ NO.____________________________

         DEPARTMENT_______________________ NO.____________________________

         CREDIT $______________BUDGET ACCOUNT NO.________________________
 

ITEM REQUESTED TO BE TRANSFERRED:

REMARKS: _______________________________________________________________
                    _______________________________________________________________

APPROVED BY:

    TRANSFERRING DEPARTMENT:                      RECEIVING DEPARTMENT:

     ______________________________                     ______________________________
     DEPARTMENT HEAD                                         DEPARTMENT HEAD

     ______________________________                     ______________________________
     EXECUTIVE COMMITTEE MEMBER             EXECUTIVE COMMITTEE MEMBER

     ______________________________
     PROPERTY CONTROL OFFICER

COPY TO: Comptroller's Office