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Payrollredistributionform

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1
Payroll Expenses Payroll Expenses
Move From Move To
Department Name: Department Name:
Index Fund Org Acct Prg Activity Index Fund Org Acct Prg Activity
Example, do not use. Example, do not use.
SUU 000100 90300 6260 10 N/A TBIRD 000200 90300 6260 10 N/A
Index Fund Org Acct Prg Activity Index Fund Org Acct Prg Activity
Total amount to be
redistributed (transferred):
Explanation:
Initiated by: Date:
Account Supervisor: Date:
Budget Office
or Grant Approval: Date:
$
Southern Utah University
Payroll Department
Payroll Redistribution Request
Pleaseattachanyadditionalinformationtothisform. Note:Thisformisforpayrollexpensesonly.
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Completed 19 November 2019

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