ÐÏࡱá>þÿ uxþÿÿÿtÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥ÁÀ ø¿Jbjbj[�[� 4v9ë9ë'"ÿÿÿÿÿÿ·zzÔÔÔÔÔÿÿÿÿèèè8 \|èõ/f˜6ÎÎÎÎ"8L t/v/v/v/v/v/v/$[1² 4^š/ÔXXXš/ÔÔÎÎH¯/XFÔÎÔÎt/Xt/Îÿÿÿÿ°CñTëÒÿÿÿÿžF`/Å/0õ/k4ä$k4k4ÔXXXXXXXXš/š/XXXõ/XXXXÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿk4XXXXXXXXXz š: MAPP 05.01.01 - ADDENDUM A UNIVERSITY OF HOUSTON Departmental Petty Cash, Change Funds Request for Establishment or Modification Acknowledgement of Receipt of Funds and/or Cash Policies and Procedures Certification NOTE: College/Division/Departmental Cash Handling Policy and Procedures must be submitted to and approved by General Accounting prior to completion of Addendum A for newly established change funds or petty cash funds or prior to naming new cash handlers. SECTION I (Complete for Petty Cash/Change Funds/All requests for Treasury) ACTION REQUESTED FOR FY  FORMTEXT YEAR FOR  FORMTEXT DEPARTMENT NAME  FORMCHECKBOX  Establish New Fund  FORMCHECKBOX  Close Existing Fund  FORMCHECKBOX  Annual Reauthorization of Existing Fund/On-Line Certification  FORMCHECKBOX  Modify Existing Fund  FORMCHECKBOX  Increase Amount  FORMCHECKBOX  Decrease Amount From $ FORMTEXT Amount To $ FORMTEXT Amount TYPE OF CASH RESPONSIBILITY  FORMCHECKBOX  Petty Cash  FORMCHECKBOX  Change Fund  FORMCHECKBOX  Operational Cash Advance $ FORMTEXT AMOUNT PHYSICAL LOCATION OF FUND  FORMTEXT ENTER ADDRESS OF WHERE FUND IS LOCATED. SPECIFY IF FUND IS STORED IN A SAFE, LOCKED DRAWER, ETC. COST CENTER  FORMTEXT ENTER COST CENTER FOR FUND SECTION II Fund Custodian Certification and Approval I hereby certify that I am an employee that has been authorized to handle cash or serve as custodian of a Departmental Cash Fund and acknowledge receipt of the fund. I have completed on line cash handling certification training prescribing the management of cash, and agree to accept responsibility for the accounting and control of the cash in accordance with policies and procedures. These policies and procedures include MAPP 05.01.01 – Cash Handling; UH System Administrative Memorandum 03.F.01 – Gift Acceptance Policies; UH System Administrative Memorandum 01.C.04 – Reporting /Investigating Fraudulent Acts; and the College/Division/Department Cash Handling Policy and Procedures.  Custodian Name, Please Print Custodian Signature & Date SECTION III Cash Handler(s) Certification and Approval I hereby certify that I am an employee that has been authorized to handle cash or serve as custodian of a Departmental Cash Fund and acknowledge receipt of the fund. I have completed online cash handling certification training prescribing the management of cash, and agree to accept responsibility for the accounting and control of the cash in accordance with policies and procedures. These policies and procedures include MAPP 05.01.01 – Cash Handling; UH System Administrative Memorandum 03.F.01 – Gift Acceptance Policies; UH System Administrative Memorandum 01.C.04 – Reporting /Investigating Fraudulent Acts; and the College/Division/Department Cash Handling Policy and Procedures. Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date Employee Name, Please Print Employee Signature & Date SECTION IV Certification and Approval 1.Custodian Name, Please PrintCustodian Signature & DateCustodian PhoneCustodian Mail Code2.College/Division Business Administrator Name, Please PrintC/D BA Signature & DateC/D BA PhoneC/D BA Mail Code3.Department Head Name, Please PrintDepartment Head Signature & DateDepartment Head PhoneDepartment Head Mail Code Complete the following, if requesting cash advance for operational purpose, establishing a new change fund or petty cash fund or for new cash handlers for your College/Division. College/Division/Departmental Cash Handling Policy and Procedures submitted to and approved by General Accounting on  FORMTEXT DATE. CC: College Dean Received by the Treasurer’s Office: _____________________________________________ Request approved by: ______________________________________ Date: ________________     Revised: June 2017 ØÙÞßx � Ö Ù Û å æ ç ó ô ù ú þ ÿ   & ' ? @ J õìÝͽͰ½§›‘‡‘‡‘‡‘‡‘}‘‡‘si\ShÅ^¥h{V$CJjhÅ^¥h8|JCJUhÅ^¥h{V$5�CJhÅ^¥hF×5�CJhÅ^¥hÈ�>*CJhÅ^¥hoƒ>*CJhÅ^¥hF×>*CJhÅ^¥hF×5�>*CJhÅ^¥hF×CJh^«5�6�B* CJphÀhÅ^¥hF×5�6�B* CJphÀhÅ^¥hUWæ5�6�B* CJphÀhÅ^¥hUWæ5�B* CJphÀhÅ^¥h¢<CJhÅ^¥h°Bž5�CJ2X‚ØÙÚ Û & ' t u v Ç È ÷ëë÷÷÷ãããããÚ΋ããCkd$$If–l”QÖ”ÿK$·$ t ö·$6öÖÿÖÿÖÿÖÿ4Ö4Ö laöyt{V$ $$Ifa$gd [ $Ifgd{V$$a$gd [ $ ÆÐa$gdvK$a$gdvKJ K L P Q R V W a b c r s t u v w … † ‡ ˆ ‰ ïâÔâËÁâ˱âÔâÁ˪‘}dN‘;$hÅ^¥h mÏ5�CJfHqÊ ÿòòò*j *h8|J5�CJUfHqÊ ÿòòò0�jJ *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥h mÏ5�CJfHqÊ ÿòòò0j *hÅ^¥h8|J5�CJUfHqÊ ÿòòò hÅ^¥h{V$�j|hÅ^¥h8|JCJUhÅ^¥h{V$5�CJhÅ^¥h{V$CJhÅ^¥h{V$CJmHnHujhÅ^¥h8|JCJU�jhÅ^¥h8|JCJU‰ ›   ¡ ¯ ° ± ² ³ Ç È É × Ø Ù Ú Û    ÷îÕÁ¨’ÕvÁÕbI’Õ6îbÕ$hÅ^¥hUWæ5�CJfHqÊ ÿòòò0�j2 *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥hUWæ5�CJfHqÊ ÿòòòhÅ^¥h>r_CJ$hÅ^¥h>r_5�CJfHqÊ ÿòòò*j *h8|J5�CJUfHqÊ ÿòòò0�j¾ *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥h>r_5�CJfHqÊ ÿòòò0j *hÅ^¥h8|J5�CJUfHqÊ ÿòòòhÅ^¥hUWæCJhÅ^¥h mÏCJÈ   B D � ’ Æ Ç È ä å f g h ò ó ( ) * d f ÷ïïïã×Çïïïïïïïïïïïïï¾ Æº gdP|Û$„ „Ð^„ `„Ða$gdUWæ $„Ð^„Ða$gdUWæ $„Ð`„Ða$gdP|Û$a$gd [$a$gdUWæ ) * + , - A C D E F T U V W X h ëÒ¼£�‡~u~£aH¼£5~$hÅ^¥h>r_5�CJfHqÊ ÿòòò0�j *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥h>r_5�CJfHqÊ ÿòòòhÅ^¥hP|ÛCJhÅ^¥h>r_CJhÅ^¥h mÏCJ$hÅ^¥h mÏ5�CJfHqÊ ÿòòò0j *hÅ^¥h8|J5�CJUfHqÊ ÿòòò*j *h8|J5�CJUfHqÊ ÿòòò0�j¦ *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥h mÏ5�CJfHqÊ ÿòòòh k l z { | } ~ � — ˜ ™ £ ¤ ¥ « ¬ ± ² ¼ ½ ¾ Ä Å Æ ÷Þʱ›Þˆ÷r÷brTr÷r÷DrTr�jxhÅ^¥h8|JCJUhÅ^¥hUWæCJmHnHu�jhÅ^¥h8|JCJUjhÅ^¥h8|JCJUhÅ^¥h>r_CJ$hÅ^¥h>r_5�CJfHqÊ ÿòòò*j *h8|J5�CJUfHqÊ ÿòòò0�jŽ *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥h>r_5�CJfHqÊ ÿòòò0j *hÅ^¥h8|J5�CJUfHqÊ ÿòòòhÅ^¥hUWæCJÆ Ç È ä å æ ô õ ö ÷ ø         " # ÷íãÙÀ¬“}ÀjaXÀ¬?}ÀjaX0�jb *h8|J5�CJUfHqÊ ÿòòòhÅ^¥h]KWCJhÅ^¥hoƒCJ$hÅ^¥hoƒ5�CJfHqÊ ÿòòò*j *h8|J5�CJUfHqÊ ÿòòò0�jî *h8|J5�CJUfHqÊ ÿòòò' *hÅ^¥hoƒ5�CJfHqÊ ÿòòò0j *hÅ^¥h8|J5�CJUfHqÊ ÿòòòhÅ^¥hÈ�5�CJhÅ^¥hoƒ5�CJhÅ^¥hUú5�CJhÅ^¥h mÏCJ# $ 2 3 4 5 6 O Q R \ ] ^ d e f � ‚ ƒ � çÓº¤ç‘‹‚u‚euWuMC:u:hÅ^¥h [CJhÅ^¥h [5�CJhÅ^¥hoƒ5�CJhÅ^¥h]KWCJmHnHu�jJhÅ^¥h8|JCJUjhÅ^¥h8|JCJUhÅ^¥h]KWCJ hüÜCJ$hÅ^¥hüÜ5�CJfHqÊ ÿòòò*j *hüÜ5�CJUfHqÊ ÿòòò0�jÖ *hüÜ5�CJUfHqÊ ÿòòò' *hÅ^¥hüÜ5�CJfHqÊ ÿòòò0j *hÅ^¥hüÜ5�CJUfHqÊ ÿòòò� Ž � ð ñ ó þ ÿ & ' ( ) * : I d e €ÌÎïâÔâËÁËâ˱âÔâ˨Ÿ“‡“~Ÿukue[QHhÅ^¥hâe°CJhÅ^¥h{V$5�CJhÅ^¥h\s«5�CJ hL`ƒCJh^«hL`ƒ5�CJh^«hL`ƒCJhÅ^¥hP|ÛCJhÅ^¥hP|Û5�>*CJhÅ^¥h{V$5�>*CJhÅ^¥hL`ƒCJhÅ^¥h{V$CJ�jìhÅ^¥h8|JCJUhÅ^¥h [5�CJhÅ^¥h [CJhÅ^¥h [CJmHnHujhÅ^¥h8|JCJU�jÀhÅ^¥h8|JCJUf <=YúîÜÜÜjÜÜÜrkdŠ$$If–l”BÖF”ÿп*"<ïk t  6 ””´ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ”´4Ö4Ö laöe4ytâe°$„& #$/„´Ifb$gdâe° $ Æ8a$gd\s«gdL`ƒ (=FYZ[\˜³ÿJLOP‰Š��ÉÊÏÐ  IJOP‰Š��ÉÊÏÐ   IJKOP‰÷ð÷ç÷ç÷ðÛÑż³©³Ÿ¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼˜¼�ˆ�ˆ¼�ˆ� hÅ^¥h"NñhÅ^¥h"NñCJ hÅ^¥hP|ÛhÅ^¥hP|Û5�CJh^«hP|Û5�CJh^«hP|ÛCJhÅ^¥hP|ÛCJhÅ^¥hP|Û5�>*CJhÅ^¥h{V$5�CJhÅ^¥hâe°5�CJy(hÅ^¥hâe°CJ hÅ^¥hUWæhÅ^¥hUWæCJ5YZ\˜šJKLMNO�…}to……fff $IfgdÙi³gdP|Û Æº gdP|Û$a$gdP|Û$a$gd [rkd $$If–l”VÖF”ÿп*"<ïk t  6 ””´ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ”´4Ö4Ö laöe4ytâe° OPmn‰˜��� $IfgdÙi³gkdª $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³‰Š‹Œ�Ž�˜““ŠŠŠ $IfgdÙi³gdP|Ûgkd$ $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³��­®É˜��� $IfgdÙi³gkdž $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³ÉÊËÌÍÎϘ““ŠŠŠ $IfgdÙi³gdP|Ûgkd $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³ÏÐíî ˜��� $IfgdÙi³gkd’ $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³     ˜““ŠŠŠ $IfgdÙi³gdP|Ûgkd $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³-.I˜��� $IfgdÙi³gkd† $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³IJKLMNO˜““ŠŠŠ $IfgdÙi³gdP|Ûgkd $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³OPmn‰˜��� $IfgdÙi³gkdz $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³‰Š‹Œ�Ž�˜““ŠŠŠ $IfgdÙi³gdP|Ûgkdô $$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³��­®É˜��� $IfgdÙi³gkdn$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³ÉÊËÌÍÎϘ““ŠŠŠ $IfgdÙi³gdP|Ûgkdè$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³ÏÐíî ˜��� $IfgdÙi³gkdb$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³     ˜““ŠŠŠ $IfgdÙi³gdP|ÛgkdÜ$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³-.I˜��� $IfgdÙi³gkdV$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³IJKLMNO˜“ŠŠŠŠ $IfgdÙi³gdP|ÛgkdÐ$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³OPmn‰˜��� $IfgdÙi³gkdJ$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÿÿÖ ÿÿÿÖ ÿÖ ÿÿÿ4Ö4Ö laöytÙi³‰Š‹Œ�·¸»¼½¾˜“““‹“ $$Ifa$gdÙi³$a$gdâe°gdP|ÛgkdÄ$$If–lÖF”ÿ‘š,"L t ö6öÖ ÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöytÙi³ ‰Š‹�·¸¾¿ùúþÿ%&*+‚ƒ‡ˆ¨©­®ö÷ûü-./01L}œÈãäXYZdùðçÛçÒËÒËÒËÒËÒËÒËÒËÒËÒËÒËÒËÒÂËÒµ¦š¦Ž¦µ¦µ�xhÅ^¥h( +CJjhÅ^¥h8|JCJUh^«5�B* CJphÀhüÜ5�B* CJphÀhÅ^¥hâe°5�B* CJphÀhÅ^¥hâe°B* CJphÀhÅ^¥h …CJ hÅ^¥hâe°hÅ^¥hâe°CJhÅ^¥hâe°5�>*CJhÅ^¥h3)ÂCJhÅ^¥h"NñCJ hÅ^¥h"Nñ*¾¿ÀÝÞùƒwwww $$Ifa$gdÙi³|kd>$$If–l”zÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³ùúûüýþ…yyyy $$Ifa$gdÙi³zkdÖ$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³þÿ%ƒwwww $$Ifa$gdÙi³|kd^$$If–l”hÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³%&'()*…yyyy $$Ifa$gdÙi³zkdö$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³*+.ij‚ƒwwww $$Ifa$gdÙi³|kd~$$If–l”Ö\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³‚ƒ„…†‡…yyyy $$Ifa$gdÙi³zkd$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³‡ˆ‰–—¨ƒwwww $$Ifa$gdÙi³|kd˜$$If–l”§Ö\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³¨©ª«¬­…yyyy $$Ifa$gdÙi³zkd*$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³­®±ÔÕöƒwwww $$Ifa$gdÙi³|kd¸$$If–l”¾Ö\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³ö÷øùúû…yyyy $$Ifa$gdÙi³zkdJ$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³ûüý.ƒwwwk $$Ifa$gd … $$Ifa$gdÙi³|kdÒ$$If–l”°Ö\”ÿ5=,"Œ¶ t ö6öÖÿÿÿÿÖÿÿÿÿÖÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³./01ãämn€�ÓÔ')…€€€€€{€€€€€€{gdP|Ûgdâe°zkdd$$If–lÖ\”ÿ5=,"Œ¶ t ö6öÖÿÿÖÿÿÿÿÖÿÿÿÿÖÿÿÿÿ4Ö4Ö laöytÙi³defjkl~&'(*+-.013DEGHIJïâÔâǾ¸²¬²£›—›—›—›—“�“‹—£hÛ:XhÅ €hÕ~vhÞ6¨jhÞ6¨UhÅ^¥h …CJ hÕ~vCJ h …CJ hâe°CJhÅ^¥hâe°CJhÅ^¥hâe°B* CJphÀhÅ^¥h( +CJmHnHujhÅ^¥h8|JCJU�jìhÅ^¥h8|JCJU)*,-/023FGHIJýøýøýøýööýýñgdâe°gdP|Û 21�h:p8|J°Ð/ °à=!°"°#� $� %°°Ð°Ð �Ð|DÿÿÿÿText4YEARˆDÿÿÿÿDEPARTMENT NAMED$$If–!vh#v·$:V –l”Q t ö·$65Ö·$yt{V$tDÿÿÿÿCheck1tDÿÿÿÿCheck1tDÿÿÿÿCheck1tDÿÿÿÿCheck1tDÿÿÿÿCheck1tDÿÿÿÿCheck1vDÿÿÿÿ AmountvDÿÿÿÿ AmounttDÿÿÿÿCheck1tDÿÿÿÿCheck1tDÿÿÿÿCheck1vDÿÿÿÿAMOUNT,DÿÿÿÿaENTER ADDRESS OF WHERE FUND IS LOCATED. SPECIFY IF FUND IS STORED IN A SAFE, LOCKED DRAWER, ETC.žDÿÿÿÿENTER COST CENTER FOR FUNDŽ$$If–!vh#v<#vï#vk:V –l”B t  6 ””´ö6”´5Ö<5Öï5Ök/Ö /Ö e4ytâe°Ž$$If–!vh#v<#vï#vk:V –l”V t  6 ””´ö6”´5Ö<5Öï5Ök/Ö /Ö e4ytâe°x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³x$$If–!vh#vý#v #v’:V –l t ö65ÖL5Ö5Ö/Ö /Ö ytÙi³–$$If–!vh#vŠ#v#v#vï:V –l”z t ö6,Ö,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³†$$If–!vh#vŠ#v#v#vï:V –l t ö65ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³–$$If–!vh#vŠ#v#v#vï:V –l”h t ö6,Ö,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³†$$If–!vh#vŠ#v#v#vï:V –l t ö65ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³�$$If–!vh#vŠ#v#v#vï:V –l” t ö6,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³†$$If–!vh#vŠ#v#v#vï:V –l t ö65ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³�$$If–!vh#vŠ#v#v#vï:V –l”§ t ö6,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³Œ$$If–!vh#vŠ#v#v#vï:V –l t ö6,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³�$$If–!vh#vŠ#v#v#vï:V –l”¾ t ö6,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³†$$If–!vh#vŠ#v#v#vï:V –l t ö65ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³�$$If–!vh#vŠ#v#v#vï:V –l”° t ö6,Ö5ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³†$$If–!vh#vŠ#v#v#vï:V –l t ö65ÖŒ5Ö5Ö5Ö¶/Ö /Ö ytÙi³rDÿÿÿÿDATE^ 02ÀÐàð 0@P`p€�ÀÐàð2(Øè 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�ÀÐàð 0@P`p€�8XøV~_HmH nH sH tH J`ñÿJ °BžNormal$a$CJPJ_HaJmH sH tH DA òÿ¡D Default Paragraph FontRi@óÿ³R 0 Table Normalö4Ö l4Öaö (k ôÿÁ( 0No List p�@³óp {V$Table 3D effects 3÷:VjÖ.@Ô€€€€Öÿÿÿ…Öÿ†ÖÿjÖ‡Ö ÀÀÀÿÿÿjÖ ‡Ö ÀÀÀÿÿÿjÖ#‚Öÿÿÿ…Öÿ†ÖÿjÖ9Ôÿ€Öÿ‚Ö€€€…Öÿ†ÖÿjÖ…Öÿ†ÖÿjÖ…Öÿ†Öÿˆ4‰4a$2…Ê B*phÿ…Ê B*phÿ…Ê5\…Ê5\44 P|ÛHeader ÆH�$:þoòÿ: P|Û Header Char CJPJaJ4 @"4 P|Û0Footer ÆH�$:þoòÿ1: P|Û0 Footer Char CJPJaJH™@BH Õ~v Balloon TextCJOJQJ^JaJRþoòÿQR Õ~vBalloon Text CharCJOJPJQJ^JaJPK!éÞ¿ÿ[Content_Types].xml¬‘ËNÃ0E÷Hüƒå-Jœ²@%é‚ÇŽÇ¢|ÀÈ™$ÉØ²§Uû÷LÒTB¨ l,Ù3÷ž;ãr½µÃ˜œ§J¯òB+$ëG]¥ß7OÙ­V‰�$ùãûÿ©«×îÇ !)OÚ^ýrÍC$ñy@“°íÝö/­yH*œ˜ñ„´½)‘Þµ�÷ß»Š×UDb‚`}"×qÛ‹”J×—–¤ÃX^æ)I`nÌEŒ¼Šp)øèÆli¹V[]Š1M<”àÈÞ�©OÐP“ô6râ=¯‰’zÀgb Ig…Áu��SÙebÖö€OÀ�†ä¾òÃRÁDÛ«™Ÿ·´qu ¯g‹˜Z°¶´®o~ÙºlAp°lxŠpT0­÷­+[}`j×ëõº½zAϰV–2ÍF­ÞÉi–@öqžv·Ö¬5\|‰þʜ̭N§Óle²X¢dsøµÚjcsÙÁ�Å7çð�Îf·»êà ÈâWçðý+­Õ†‹7 ˆÑä`­ÚïgÔ È˜³íJøÀ×j|†‚h(¢K³óD-еß㢠dXÑ©iJÆØ‡(îâx$(Ö ð:Á¥;ä˹!Í I_ÐTµ½S 1£÷êù÷¯ž?EÇž?øéøáÃã?ZBΪmœ„åU/¿ýìÏÇ£?ž~óòÑÕxYÆÿúÃ'¿üüy5Òg&΋/ŸüöìÉ‹¯>ýý»GðM�Geø�ÆD¢›äíó3Vq%'#q¾ÃÓòŠÍ$”8ÁšKýžŠôÍ)f™w9:ĵàå£ x}rÏx‰‰¢œw¢ØîrÎ:\TZaGó*™y8IÂjæbRÆíc|XÅ»‹Ç¿½I u3KGñnD1÷NIBÒsü€� íîRêØu—ú‚K>Vè.EL+M2¤#'šf‹¶i ~™Vé þvl³{u8«Òz‹ºHÈ Ì*„æ˜ñ:ž(W‘☕ ~«¨JÈÁTøe\O*ðtHG½€HYµæ–}KNßÁP±*ݾ˦±‹ŠTѼ�9/#·øA7ÂqZ…Ð$*c?�¢íqUßån†èwðNºû%Ž»O¯·ièˆ4 =3¾¼N¸¿ƒ)cbJ u§VÇ4ù»ÂÍ(TnËáâ 7”Ê_?®�ûm-Ù›°{UåÌö‰B½w²ÒzÏû¨nœ”ÇÊœ"Z úàxŠÕJÜZšìp;‹“Êì ØåÞ{/å<óP;™Ž,)''KÐQÛk5—›òqÚöÆpN†Ç8¯KÝGbÂe“¯„ ûS“ÙdùÌ›­\17 êpõaí>§°SR!Õ–‘ 3•…K4'+ÿrÌzQ TT£³I±²Áð¯Ivt]KÆc⫲³K#Úvö5+¥|¢ˆDÁ±‰ØÇà~ª O@%\w˜Š _ànN[ÛL¹Å9Kºò�˜ÁÙqÌÒgåV§hžÉn R!ƒy+‰ºUÊn”;¿*&å/H•rÿÏTÑû Ü>¬Ú>\ Œt¦´=.TÄ¡ ¥õûS; Zà~¦!¨à‚ÚüäPÿ·9gi˜´†C¤Ú§!ö# Bö ,™è;…X=Û»,I–2UW¦Vì9$l¨kàªÞÛ=A¨›j’•ƒ;î{–A£P79å|s*Y±÷Úø§;›Ì ”[‡MC“Û¿±hf»ª]o–ç{oY=1k³yV³ÒVÐÊÒþ5E8çVk+ÖœÆËÍ\8ðâ¼Æ0X4D)Ü!!ýö?*|f¿vè uÈ÷¡¶"øx¡‰AØ@T_²�ÒÒŽ q²ƒ6˜4)kÚ¬uÒVË7ë ît ¾'Œ­%;‹¿Ïiì¢9sÙ9¹x‘ÆÎ,ìØÚŽ-45xödŠÂÐ8?ÈǘÏdå/Y|t½ß &LILð�J`è¡& ù-G³tã/ÿÿPK! Ñ�Ÿ¶'theme/theme/_rels/themeManager.xml.rels„�M Â0„÷‚wooÓº‘&݈ЭÔ„ä5 6?$Qìí ®,.‡a¾™i»—�Éc2Þ1hª:é•qšÁm¸ìŽ@RN‰Ù;d°`‚Žo7íg‘K(M&$R(.1˜r'J“œÐŠTù€®8£�Vä"£¦AÈ»ÐH÷u} ñ›|Å$½b{Õ–Pšÿ³ý8‰g/]þQAsÙ…(¢ÆÌà#›ªLÊ[ººÄßÿÿPK-!éÞ¿ÿ[Content_Types].xmlPK-!¥Ö§çÀ6 0_rels/.relsPK-!ky–ƒŠtheme/theme/themeManager.xmlPK-!0ÝC)¨¤Ötheme/theme/theme1.xmlPK-! Ñ�Ÿ¶'² theme/theme/_rels/themeManager.xml.relsPK]­ Jvÿÿÿÿ !!!$J ‰  h Æ # � ‰dJ ,9È f YO‰�ÉÏ IO‰�ÉÏ IO‰¾ùþ%*‚‡¨­öû.)J !"#$%&'()*+-./012345678:?KPVbrv†‡ °±ÈØÙ*+EUVk{|˜¤«±½Äåõö#34Q]d‚Žðÿ &YejJF”ÿ•€F”ÿ•€Gÿ• Gÿ• Gÿ• Gÿ• Gÿ• Gÿ• F”ÿ•€F”ÿ•€Gÿ• Gÿ• Gÿ•¤F”ÿ•€F”ÿ•€F”ÿ•€F”ÿ•€ðTð # ð †ÁÅÁ@ñÿÿÿ€€€÷ðH ðð0ð( ð ðð’ðð0ð( ð ððB ðS ð¿Ëÿ ?ðÿÿ_GoBackText4?KQK')*,-/023HK')*,-/023HK?QVsvˆ ²ÈÚ,EWk}˜¬±Åå÷#OQe‚ñÿ'--00L}Yk~&'3EKÐå\ ·˜.Ù4]9MNë#b*WIZVªZ—"N¤U«htruž0�p.{»¦ BG�RÅ é¬Aï+S[pgv,LC3·)XVÉ ]9 ì< G ÷z Õ ª Ì& ¤ Ñ È- #6 ÂC I ŸN Ñ\ p 6 £ b ú{ W ë ŠA ŒA ¸] ¸?§FÔ_mñ T9g: Ñ(ç »9‹*#X á'ª8Ö<M{Y©ù&'¾5p\tc$kÐ*-%'?ÎFnp0“&à&Ö(CtH³u{ëÕ9‡QmXn—Á'Õ5EvH]^=mó~ž¥Xuõ,#3Twi‡3ôG.ü0¢<‰B;IYIjU]3  4È_ inÓ}wtd 4R qx rx J{ µ !ðc!œh!5"Ë["6_"f"r"" #”#';#†>#³Ò±õ#$³¢#³Û±·#¸¿#²ú#$²õ#"$µ÷³Õ$×a$®}$Î%¾%¬%´¥2%ü<%ôG%Á[%€i%"u%|%Õ &Æ9&¡N&¨S&e&þ'©)'5V'Šp'r'—(áJ(N) 5)ïB)JD)H)yP)Ù(*HP*V*-[*¿c*( +ÃF+ý\+$',,,Œ3,"J,cd,-z,p-:M-äR- ^-Àa-$y--¶. .l .}".Ð4þH46i4Z85‰=5G5hy5E5k6Ü*6‰16Ü26�d6[e7Wu7Å8†58®;8f8C9{9“9¡9P9&9YA9”J9K9óP9QT9‘ :â :‡z:»;F2; K;nW;G<T <E<–V<Žf<„= =“=£=ò0=>@=XC=­o= x=ñ>D>w#>5>zB>‘L>XN> S>g>?g=?Ð>?›f?Mz?ª"@¸6@)A7 AAã`AEB€(B�2BïnBS CP'C#:C˜r_¾Z`8s`'-aqFaŠhaBIbNb?ObÝhb®c: d³qd5yd›e–eQe›ee–je‹)fWfhffÄ|f0 gºg¯Rg3h-%hµ,hqhvi#iÑAiÉKiˆRiMj|9jmtj‚kk %k¢+kR.k(=k_k¿lº l+l«˜çD˜'O˜ ™›™õ,™m?™ìšb_šqš‰›Û-›XN›ôy›+œBœ7Pœ[œ–tœ˜zœì|œ �µ/�w{� ž5žG8ž°Bž÷[žÑdž©BŸ‘UŸÝYŸsgŸ˜zŸ@ A- 0 k: ×j …w × k¡I ¡^¡õD¡¦Y¡Íq¡_}¡ ¢Æ¢w£º£â£x"£v+£ŠW£” ¤:+¤Àv¤� ¥>¥ë ¥j,¥&-¥ëB¥ÑF¥Å^¥:¦j/¦®8¦ÏD¦³E¦Ä&§ìJ§([§#k§y§§¨Þ6¨¯U¨êr¨r©Ó©Þ+©gªq2ªÌmª'nª©yª³«^«@m«\s«Kw«î ¬×¬š¬âE¬ I¬Ùg¬ ­¼3­RH­ËL­–®Ë>®hR®Y®Wl®9-¯yX¯u¯h|¯A°_° °âe°þ±F8±ØD±p5²O9²�p²Ï%³F³ÿe³Ùi³Ww³˜´ã.´-f´ùk´Ún´{µ˜WµšWµL^µÞuµ]¶ÆP¶5v¶m¶ ·@r·±¸s¸\¸§¹Å¹à ¹”>¹‰A¹‹D¹€`¹#j¹üºr)ºà5º»a%»I/»q1»P¼»@¼Ö@¼ó}¼‚½‹½h½Ý$½D*½2½SA½ I½_Q½ U½n{½è!¾û%¾o:¾(F¾×U¾ex¾px¾E¿Þx¿OÀ:ÀûÀŽ+Àr>À]DÀÁäÁ“/Á#0Áü0ÁÃ9Á&bÁÑoÁÂ3)Â&AÂEk±~ÂûÀBà JÃÁKÃøÄ‚ZÄç\ÄŒgÄÀ Å>@ÅYFŤLÅwÅvƶDÆWÆâ_ƇqÆ×ÇdÇa Ç)Ç‘FÇKjÇÞÇt5È¡8ÈÀ ÉÉ)1É‚CÉ�YÉa[ÉvÊ7#Ê¡%ÊI@ʃCÊóNʦ Ër,ˇ5ËqË‹*ÌF<Ì$hÌíxÌwÍ�4Íî;Í�Î’ Î… Ï@JϪWÏ[Ï mÏg{Ïñ ÐPÐìбÐU'ÐÌ'ДtÐUzÑÒž1ÒÕ=Ò|VÒHWÒ­WÒ Ó'Ó0ÓL:ÓujÓ pÓSÔƒ,Ô”QÔ¥ÕÚÕ"0Õ9Õc|Õh#Ö.Ö0ÖÕ;ÖœGÖyHÖ+×F×Yu×Í Ø~ØüØc Ø%.س_ØÞCÙ½PÙþpÙ€%Ú¸0Úì1Ú*[ÚÛÛÅ*Ûó-Û9DÛPÛ©fÛP|ÛüÜüÜÏÜ*ܧ*ÜÓ?܈^ÜïeÜR Ýó.ÝÍIÝáNÝVYÝâÞç!Þ¬%ÞS5ÞHcÞswÞ߇ßq%ß·(ß3.ßJdß"àóQàzàºááy6áõ8áu â±EâÎJâ™XâÜ ããÂFã?@ABCDEFGHþÿÿÿJKLMNOPQRSTUVWXYZ[\]^_`abcþÿÿÿefghijkþÿÿÿmnopqrsþÿÿÿýÿÿÿvwþÿÿÿþÿÿÿzþÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿRoot Entryÿÿÿÿÿÿÿÿ ÀF þDZTëÒyData ÿÿÿÿÿÿÿÿÿÿÿÿ<^1TableÿÿÿÿÿÿÿÿIk4WordDocument ÿÿÿÿ4vSummaryInformation(ÿÿÿÿÿÿÿÿÿÿÿÿdDocumentSummaryInformation8ÿÿÿÿÿÿÿÿlMsoDataStoreÿÿÿÿÿÿÿÿ '¢±TëÒ°CñTëÒÅÕÂËV1WKSÔÞÄÔÑÁ1ÆÕJ1ÏQ==2ÿÿÿÿÿÿÿÿ '¢±TëÒ°CñTëÒItem ÿÿÿÿ ÿÿÿÿØPropertiesÿÿÿÿÿÿÿÿÿÿÿÿUCompObjÿÿÿÿ rÿÿÿÿÿÿÿÿÿÿÿÿþÿÿÿ þÿÿÿ þÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ þÿ ÿÿÿÿ ÀF Microsoft Word 97-2003 Document MSWordDocWord.Document.8ô9²q