Case Western Reserve University
Operating Advance Clearance Form
Send to:
Name:
c/o Controller’s Office
University West Building (7006)
Date
Project Name:
Department:
Total Amount:
Description:
Approved By:
Department:
Date:
I have reviewed the attached supporting documentation and hereby certify that, to the best of
my knowledge, the amounts and accounts listed on this form are correct and appropriate.
last revised 2012-07-01
Certifying Signature:
Printed Name:
Date:
last revised 2012-07-01