Origination Date: 07/15/99 Revision Date: 02/18/00
UNIVERSITY OF HAWAI‘I
DATE: _________________
FMIS-74
EQUIPMENT TRANSFER
(MM/DD/YY)
(See reverse side for instructions)
T
_______________
(FO Code + 3 digits)
ASSET NO. DECAL NO. DESCRIPTION COST
TOTAL ITEMS* TOTAL COST*
*
ATTACH SEPARATE LISTING IF NECESSARY
FROM: TO:
BUILDING CAMPUS: BUILDING: BUILDING CAMPUS: BUILDING:
ROOM/FLOOR: ROOM/FLOOR:
OTHER LOCATION: OTHER LOCATION:
AVAILABILITY: AVAILABILITY:
SL ACCOUNT CODE: SL ACCOUNT CODE:
ASSET FO: ASSET FO:
ASSET CAMPUS: ASSET CAMPUS:
OWNERSHIP/TITLE: OWNERSHIP/TITLE:
CUSTODIAN NAME: CUSTODIAN NAME:
SIGNATURES: SIGNATURES:
CUSTODIAN: CUSTODIAN:
DATE: DATE:
FISCAL OFFICER: FISCAL OFFICER:
F.O. #: F.O. #:
DATE: DATE:
FOR PFMO USE ONLY FOR PFMO USE ONLY
EXEC LEVEL: DIVISION: EXEC LEVEL: DIVISION:
SCHOOL: DEPT: SCHOOL: DEPT: