Fillable As522 (Louisiana State University)

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As522 (Louisiana State University)

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Finance and Administration • Office of Accounting Services • Sponsored Program Accounting
240 Thomas Boyd Hall • Baton Rouge, LA 70803 • P 225-578-5337 • F 225-578-7217
REV 7/12/16
NOTICE OF CASH GIFT TO LSU AS522
General Information
Donor
Address
City, State, Zip
Basic Gift ID
Amount
Cost Center ID
Phone
Cost Center Contact
E-mail
Purpose
Approvals
Note: Please attach all available supporting documentation.
________________________________________ ____________________________________________ _______________________________________
Preparer Print Name Date
________________________________________ ____________________________________________ _______________________________________
Department Head Print Name Date
Sponsored Program Accounting
Basic Gift Name
Basic Gift ID
Gift Purpose
Approved By
Date
LSUAM All Basic Gifts
LSUAM Gift Fringe Group 1 (44%)
LSUAM | Miscellaneous Gifts
LSUAM | Reported to President
LSUAM Gift TR Group 1 (35%)
LSUAM | Tiger Athletic Foundation
Please check one:
I certify that nothing of value was provided to the Contributor in return for this contribution.
Something of value was provided to Contributor. The dollar value and a brief description must be denoted below.
Louisiana State University
Office of Accounting Services
Sponsored Program Accounting
240 Thomas Boyd Hall
LSUAM |
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As522 (Louisiana State University)

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Completed 21 July 2020

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