/* Transfer under Uniform Gift to Minors Act and Receipt */



    TRANSFER UNDER THE @190 STATE UNIFORM GIFT TO MINORS ACT


I, @001, hereby transfer to @002, as custodian for
@003, a minor, residing at @191, under the Uniform Transfers
to minor act the following:



@192




Dated at @193 ___________________________________





_______________________________________________
 @001


				RECEIPT


	I, @002, acknowledge receipt of the property described
above as custodian for the minor above named under the Uniform
Transfers to Minors Act.