Attachment to AD NOAT 04-78
                     
The California State University Chancellor's Office
SystemWide Financial Operations
   
CHECK REQUEST FOR CSULB ONLY- USING REF "LOTTERY FORGIVABLE LOAN PROG ADNOAT 04-78"
   
SYSTEMWIDE LOTTERY TRUST TO CAMPUS LOTTERY TRUST ACCOUNTS                  
CA FORM FOR DIVERSITY IN GRADUATE EDUACATION - FORGIVEABLE LOAN PROGRAM                  
    SCHOLAR ADMIN AGENCY Campus          
  NO. AMOUNT SUPPORT # Advisor CAMPUS VENDOR CHECK NUMBER AMOUNT
                     
  6620 C.O.  #REF!
        6650 Janice Chavez   BAKERSFIELD 009    
        6850 Ashish Vaidya   CHANNEL ISLANDS 865    
        6680 Judith Brasseur   CHICO 013    
        6690 Charmayne Bohman   DOMINGUEZ HILLS 053    
                     
        6710 Gladys Fleckles   FULLERTON   015    
        6720 Jennifer Cason   HAYWARD 016    
        6730 Donna Schafer   HUMBOLDT 023    
                     
        6740 Keith Polakoff   LONG BEACH 283 128-221275 10,000
                     
                     
                     
            Pam Estaniel 985-4751      
                   
            Maria Santos      
             
            CSULB TO BOOK ENTRIES:      
            DEBIT CASH SEE ADNOAT MEMO  
            CREDIT  506121 SEE ADNOAT MEMO  
             
             
            AFTER INITIAL ENTRIES FOR RECEIVING CHECK/CASH FROM THE C.O.  
            CSULB MAY THEN BOOK TO THEIR STUDENT LOAN RECEIVABLES:  
            Acct 109001    
            Fund LF003    
            Dept ID 1005    
            Program 9002    
            AND CASH      
             
             
             
             
             
                     
  0 0 0            TOTAL CHECKS ISSUED 10,000
        6620     C.O. PRE-DOCTORAL PROG TRAVEL REIMB ALLOCATION  
                   TOTAL CHECKS I& ALLOCATIONS 10,000
CAMPUS ENTRIES REQUIRED   (USING FIRMS OBJECT CODE):    
                     
TRANSFER IN FR CSU LOTTERY (INTERAGENCY) CR                506121  
GENERAL CASH  (SEE COVER LETTER FOR DEFINITIONS)  DR         SEE MEMO