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|||||||Unreshkted|Reslrkled|Endowment|
|---|---|---|---|---|---|---|---|---|
|||||||funds|funds|funds|
|||||||to Ihe oearmr|Iothe nearesr|lo Ihe Aeafesr|
|||Details||||E|E|E|
|B1Cash funds|||||||||
|||fopree forearm uno rvrerrmond<br>A& oZS 3(||u<br>5 l.l|)|1|Resulried|Endowment|
||||||||funds|funds|
||||||||IoIhe omresr|Iothe oearesl|
||||||||E|E|
|||||||Fund to whkh|Cost|Current value|
|||Details||||asset belongs|(optional)|(optional)|
|BaInvestment|assms||||||||
|||||||Fund Iowhkh|Cast|Cunenl value|
|||Details||||asset belongs|(optionag|(optional)|
|||||||Fundtowhkh|nmountdue|When due|
|||Details||||liability relates|(optianal)|(optional)|
|BS tiabiUtles|||||||||
|Signed by one or|two trustees|on behalf|Signature|||Print|name|Date ol approval|
|of ag the trustees|||||||||
|||||||fare S.|Fg|X.Y f|