Fillable As465 L O U I S I A N A S T A T E U N I V E R S I T Y

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As465 L O U I S I A N A S T A T E U N I V E R S I T Y

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Louisiana State University
Office of Accounting Services
Financial Accounting & Reporting
204 Thomas Boyd Hall
Rev 1/17
REQUEST TO FUND PROJECT FROM MAINTENANCE RESERVE AS465
New Project OR
Additional Funding for Existing Project PJ __ __ __ __ __
Certification
I certify that all expenses paid against this project will be used exclusively for the above named MRA project.
Business Manager
Printed Name
Date
Routing and Approval Signatures – LSU
Department Head
Printed Name
Date
Dean or Director
Printed Name
Date
Assistant Vice President, Planning Design & Construction
Printed Name
Date
Associate Vice President, Facility & Property Oversight
Printed Name
Date
Director, Financial Accounting & Reporting
Printed Name
Date
Routing and Approval Signatures – PBRC, LSUA, LSUE, LSUS, Ag Center
Business Manager, Director, or Comptroller
Printed Name
Date
Director of Facility Development
Printed Name
Date
Vice President for Finance & Administration
Printed Name
Date
Director, Financial Accounting & Reporting
Printed Name
Date
----------------------------------------------------------------------------------------------------------------------------- --------------------------
FOR ACCOUNTING SERVICES USE ONLY
Project ID PJ __ __ __ __ __ __
Notified Requestor _______________________________
MRA Project Name
MRA Project Description
Cost Center ID
Amount
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As465 L O U I S I A N A S T A T E U N I V E R S I T Y

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Completed 16 November 2019

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