Donations-in-Kind / Financial Support
Name of Donor:
_________________________________
Date: ___________________________
(optional)
Purpose of Donation:
____________________________________________________________________________________
______________________________________________________________________________________________________
Item(s) Donated: Approximate Value: _______________________________________
_______________________________________
___________________________________________________________
_______________________________________ _________________________________
_______________________________________ ____________________________________________________________
Total: __________________
Accepted by:
_______________________________________________________
12/31/07
- esf