DEPARTMENT: PURPOSE OF THE GIFTS/PRIZES: GIFTS TO NON-EMPLOYEES AND FOREIGN OFFICIALS: Receipt Date Telephone Address US W-9/ MM/DD/YYYY Name (Recipient) Number Description of Gift Value Citizen W-BEN ________________________________ BUDGET MANAGER’S NAME: SIGNATURE: DATE:
DEPARTMENT: PURPOSE OF THE GIFTS/PRIZES: BUDGET MANAGER’S NAME: SIGNATURE: ________________________________ DATE: GIFTS TO NON-EMPLOYEES AND FOREIGN OFFICIALS: Receipt Date MM/DD/YYYY Name (Recipient) Telephone Number Description of Gift Address Value US Citizen W-9/ W-BEN