No:____________
Request for Financing Capital Asset or Renovation Purchases Over $100,000
Requesting Department:
Short description of planned investment:
Reason for financing:
Proposed repayment:
Interest is charged based on the yield rate of return on investments held for general purposes in the preceeding fiscal year.
Date financing requested:
Authorized Signature of Requesting Department
Approved by Vice-President, Administration & Finance
Distribution: Copy 1: Corporate Accounting, Finance, ECH
Copy 2: Requestor
Copy 3: Vice-President, Administration & Finance