Name of 4-H Unit or Date Date Date Date Director Comments VMO Treasurer Checking Savings Statement Statement Notified of Account Account Sent to Reviewed, Any Statement Statement Treasurer Initialed and Discrepancy Received Received Filed by UCCE 4-H YDP Staff Person Completing the Form Name (Please Print) Signature Date 4-H YDP Staff Name (Please Print) Signature Date County Director Name (Please Print) Signature Date It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy nondiscrimination policies may be directed to Linda Marie Manton, Affirmative Action Contact, University of California, statement can be found at ). Inquiries regarding ANR’s Davis, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1318.
Name of 4-H Unit or VMO Treasurer Date Checking Account Statement Received Date Savings Account Statement Received Date Statement Sent to Treasurer Date Statement Reviewed, Initialed and Filed by UCCE 4-H YDP Staff Director Notified of Any Discrepancy Comments Person Completing the Form Name (Please Print) Signature Date 4-H YDP Staff Name (Please Print) Signature Date County Director Name (Please Print) Signature Date It is the policy of the University of California (UC) and the UC Division of Agriculture & Natural Resources not to engage in discrimination against or harassment of any person in any of its programs or activities (Complete nondiscrimination policy statement can be found at ). Inquiries regarding ANR’s nondiscrimination policies may be directed to Linda Marie Manton, Affirmative Action Contact, University of California, Davis, Agriculture and Natural Resources, 2801 Second Street, Davis, CA 95618, (530) 750-1318.
19860.docx