PMGS-97-3

Replaces ADC-03

(Rev. 7-09)

University of Arkansas, Division of Agriculture

Noncash Gift Notification Form

Donor Information
Name (Person/Organization):
Contact (for organization):
Address:
Telephone:	FAX:
E-mail:
Description of Noncash Gift (include year, make, model, if applicable; serial number; etc.):
Item(s) and Description	Date Received	Estimated Value
$
$
$
$
Grand Total
$
Select Appropriate Unit -
AES VPAG

CES AFLS

ADC Project ID:
Faculty/Researcher:	Date:
Department:	Date:
Vice President for Agriculture:	Date:
Mail form to the following address:
Vice President for Agriculture
206 DTAS

1371 W Altheimer
Fayetteville, Arkansas 72704

University of Arkansas, Division of Agriculture Noncash Gift Notification Form - PMGS-97-3

University of Arkansas, Division of Agriculture Noncash Gift Notification Form - PMGS-97-3

noncash gift notification,form,pmgs-97-3,adc-03

Steven Hefner

2017-12-11

Cooperative Extension Services