Washington University Libraries
Department of Special Collections
Manuscript Division


GIFT-IN-KIND FORM FOR MANUSCRIPT MATERIALS




Donor:  _______________________________________________________________________________________

ID:  ______________________________________

Address:   _____________________________________________________________________________________

                  ______________________________________________________________________________________

                  ______________________________________________________________________________________

                  ______________________________________________________________________________________



Description of Gift:   ______________________________________________________________________________

                  ______________________________________________________________________________________

                  ______________________________________________________________________________________

                  ______________________________________________________________________________________

Appraisal Value:   ____________________________________________

      copy of appraisal attached:   _________________________________

Estimated Life of Gift (years):   __________________________________

Unit receiving gift:   Washington University Libraries
                                  Department of Special Collections
                                  Manuscripts Division


Actual location of Gift:   Above

Prepared by:   ____________________________________________

Prepared on Date:  ___________

Extension of Preparer:  ___________

Distribution:

_____ Development Services, Gift Processing (1082)

_____ Accounting Services Office (1034)

_____ Plant and Assets (Box 1147)