Stamp Requisition Form Ucsf

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UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
MAIL SERVICES
STAMP REQUISITION FORM
PHONE: 415-502-6245 | FAX: 415-476-6800
Date:………………………………………………..
Fund/DPA:……………………………..…………………………. Franking No:.......................................................................
Dept.……………………………………………...........…………………… Box No:................................................................
Requested By:…….………………………………………………………
Phone:………………………………..…….….……
QUANTITY
DENOMINATION
VALUE
SHIPPING
Other:
Fedex Number:
Service Charge:
Total Charge:
Remarks:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Approved By: ______________________________________
________________________________________
Name
Signature

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