Special Agency Account Board / i.e. / SIGNATURE OF AGENCY / /
Position
Director of Legislative Service Bureau Date Under / DIRECTOR OF STATE FINANCE DATE Board Action / Director of OMES State / Department Head / HEAD / Major / DATE OR VICE-CHANCELLOR OF FINANCE / custodian / CHANCELLOR / OMES State Treasurer Director / Chairman of Controlling Board / /
OMES Form 18A Revised[removed]AGENCY SPECIAL ACCOUNT APPLICATION