A) Donor's name, address and telephone number:
_______________________________________________
_______________________________________________
_______________________________________________
Phone: ( ) -
B) Date of donation: ________________________________
C) Amount of donation: _____________________________
D) Authorized limit for purchase: _____________________
E) Memorial upgrade ?
F) Date of initial thank you letter: ____________________
G) Date bibliographer authorized to make selection, and initials of bibliographer
assigned to selection:
_____________ _____________
H) Funding code or subject area for item: _______________
I) Source of funds for purchase: ______________________
J) Title and ISBN of selection, and date of selection:
_______________________________________________ __________________
K) Memorial plate text:
_______________________________________________
_______________________________________________
_______________________________________________
L) Date item received and cataloged: ___________________
M) Confirmation date that item is now available for patrons: _____________
N) Date of final thank you letter: ______________________
a) Original worksheet stays in Director's Office
b) Updated copy sent to bibliographer (at stage G)
c) Updated copy sent to purchasing (at stage J)
d) Updated copy sent to cataloging (at stage L)
e) Original filed after stage N.