UNIVERSITY OF HOUSTON INTERIM FUNDING REQUEST Principal Investigator: Extension: Department: UH Mail Code: E-mail address: Project Title: Existing Cost Center: Guarantee Cost Center: In accordance with the Interim Funding Policy as outlined in Dr. Arthur Vailas’s memorandum of October 19, 2001, the Department is requesting interim funding for the above referenced project. Total Amount of Interim Funding*: $ *DETAILED BUDGETS ATTACHED Interim Funding Dates: to In the event that the award does not materialize, the Department guarantees that any charges posted to the interim funding cost center will be reallocated to a non-sponsored-research cost center. PI signature Date Signature of Guarantor Date Name of Guarantor Title Signature of OCG Representative Date Patricia L. de Hoop Associate Director Name of OCG Representative Title Rev 05/17/06