1st quarterly report of gifts, donations

OAKLAND UNIFIED SCHOOL DISTRICT 

Board of Education 

LEGISLATIVE FILE 

November 17, 2010 File ID No.: 10-2763 

Introduction Date: li4.2. 1 / 0 

To: Board of Education Enactment No.: L 4 r" I I 

From: Tony Smith, Superintendent 

Subject: 

Enactment Date: 11- II-- I 0 

By: le* 

1st Quarterly Report of Gifts, Donations. Bequests and/or Grants of 

$5 000.00 or Less - Fiscal Year 2010-2011 

ACTION REQUESTED: 

Ratification by Board of Education of the 1st Quarter Report of Gifts, Donations, Bequests and/or Grants of 

$5,000.00 or Less for Fiscal Year 2010-2011, individually and separately accepted for District totaling $23,407.67. As 

determined herein, by the Deputy Superintendent of Business and Operations, pursuant to Board Policy 3290. 

BACKGROUND: 

Board Policy 3290, adopted September 12, 2007, delegated to the Chief Financial Officer/Associate Superintendent, 

Business Services, authority to accept Gifts, Donations, Bequests and/or Grants of $5,000.00 or Less on behalf of the 

District. The policy also requires a ratification report, detailing such actions, be provided to the Board quarterly. 

File I.D # 

Backup 

Document 

Included 

Type Recipient Grant's Purpose 

10-2763 X Donation Anthony Chabot School Funding for Art Teacher 

10-2763 X Donation Districtwide 




Support Districtwide 

Activities 


Music Departments 





10-2763 X Donation Lincoln School Instructional Supplies 

Page 1 of 3 

Time 

Period 

9/1/10 

thru 

6/30/10 

7/1/10 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thm 

6/30/10 

Funding Source Grant Amount 

Chabot Elementary PTA $3,500.00 

Wells Fargo Annual 

Giving Campaign 

$5.00 

Deloitte and Touche $75.00 

Deloitte and Touché $75.00 

Deloitte and Touche $75.00 

Timothy Sheridan $25.00

File I.D # 

10-2763 

Backup 

Document 

Included 

a 


X Donation Lincoln School Instructional Supplies 



10-2763 X Donation 



Glenview Elementary 

School 

Horace Mann 

Elementary School 

Horace Mann 

Elementary School 

Mi scellaneous School Use 

Target 50 After-School 

Program 


Program 

10-2763 X Donation Emerson CDC Teacher Supplies 

10-2763 X Donation Police Services K-9 Program 

10-2763 X Donation Cox CDC Teacher Supplies 

10-2763 X Donation Highland CDC Teacher Supplies 

10-2763 X Donation Districtwide Adult Education 

10-2763 X Donation Marshall Site Support Activities 



10-2763 X Donation Joaquin Miller Art Supplies 

Page 2 of 3 

Time 

Period 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 

7/1/10 

thru 

6/30/10 


Tze-Ching Szeto $100.00 

Tze-Yan Szeto $160.00 

Tze-Yan Szeto $80.00 

Barclays Global Investor $5,000.00 

Eagle Foundation $5,000.00 

Eagle Foundation $3,000.00 

AT&T $436.46 

Broadway Mechanical- 

Contractors, Inc. 

$5,000.00 

Chase Bank $97.70 

Lifetouch $327.15 

Wells Fargo Community 

Support 

Wells Fargo Foundation 

Education Matching Gift 

Program 

Target Take Charge of 

Education 

Wells Fargo Community 

Support 

Kaiser Permanente 

Community Giving 

Campaign 

$5.00 

$60.00 

$44.35 

$60.00 

$125.00

File I.D # 

Backup 

Document 

Included 

..... 


Time 

Period 



7/1/10 

thru 

6/30/10 

Target Take Charge of 

Education 

$120.01 

7/1/10 

10-2763 X Donation Lincoln School Instructional Supplies thru JustGive.Org $50.00 

6/30/10 

7/1/10 

10-2763 X Donanon Lincoln School Instructional Supplies thru JustGive.Org $50.00 

6/30/10 

FISCAL IMPACT: 

The Chief Financial Officer/Associate Superintendent, Business Services, under this authority accepted: 

Donations valued at: $23,470.67 

Grants valued at: $0.00 

Total at: $23,470.67 

RECOMMENDATION: 

The Board accepts the 1st Quarterly Report of Gifts, Donations, Bequests, and/or Grants of $5,000.00 or Less - 

Fiscal Year 2010-2011, as delineated herein. 

Attachments 

Page 3 of 3

Oakland Unified School District 

Financial Services Division 

1025 Second Ave., Adm. - Oakland, CA 94606 

Phone: (510) 879-8826 

Fax: (510) 879-8836 

FY 2010-11 Grants Office Donation Form 

Please complete the information requested on this form. Attach your donation checks made payable to 

Oakland Unified School District with the name of the school referenced on the check's memo note and 

deliver/mail to the OUSD Grants Office mailbox at the address above for budget loading and board review. 

Contact Valerie Williams, Grant Manager, at 879-8826 or by email at valerie.wi11iams@ousd.k12.ca .us for 

further information. 

School 

Name 

Horace 

Mann 

Horace 

Mann 

PS5Tie).-.4. 

' alga. 

gig ,., 

—Thr ien 

761f 

Donation's Purpose 


Program 


Program 

Start 

Date 

End 

Date 

Funding Source 

Donation Value* 

10/10 4/11 Eagle Foundation $5000.00 

10/10 4/11 Eagle Foundation $3000.00 

Olc rinnatinne nr arantc nver !“ 000 reauire separate board review Legistrar File ID Numbers.) 

File ID Number: 10-c91 64 

Introduction Date: I I-1- 0 

Enactment Number: NV( 

Enact/Tent Date: 11 - Ir fo 

By: n 

7/09 OUSD Grants Management Services 

RECEIVED 

SEP 03 2010 

:4.4C1-4444 FIN ANCIALIM 

CERTIFIED: 

Edgar Rakestraw. Jr., Secretary 

Board of Education t ism 

Ic

THE EAGLE FOUNDATION 

770 San Ramon Valley Blvd. 

Danville, CA 94526 

(925) 969-1936 

Horace Mann Elementary School 

5222 Ygnacio Avenue 

Oakland, CA 94601 

Re: Eagle Foundation Donation 

IJE/dmf 

August 26, 2010 

Pursuant to instructions from Jeffrey Schwartz, enclosed you will find Eagle Foundation 

replacement check No. 1062 in the amount of $5,000.00. 

If you have any questions, please do not hesitate to contact us. 

Very truly yours, 


OC°\1 );) 

SY 03 2010 

oWecim-saV3 

y/Es/v(4 go 7 3 

le

EAGLE FOUNDATION 1062 

770 SAN RAMON VALLEY BLVD 

DANVILLE, CA 94526 

90-3752/1211 

koiO 932 

PAY TO THE a 

ORDER OF riCRei Cad ) -Th4 004. $ 5-doe), 06 

FOR 

719lusifit2,19 

ea' • 

Comengk Bank 

Comerica Bank 

wismcomerica.eom 

0.00111162e I:1211375224 IFNI? 2713751 

DATE 

■ 

DOLLARS t


770 San Ramon Valley Blvd. 

Danville, CA 94526 

(925) 969-11936 

Horace Mann Elementary School 

5222 Ygnacio Avenue 


Re: 

in J. Es 

Eagle Foundation Donation 

August 27, 2010 

Pursuant to instructions from Jeffrey Schwartz, enclosed you will find Eagle Foundation 

replacement check No. 1062 in the amount of $3,000.00. 

If you have any questions, please do not hesitate to contact us. 

Very truly yours, 

THE Et LE FOUNDATION 

IJE/dmf 

513

EAGLE FOUNDATIO 1063 

770 SAN RAMON VALLEY BLVD 

DANVILLE, CA 94526 

DATE FA 7/acw 0 

PAY TO THE 

ORDER OF .11012,10" "0/04) a78--A-uam)fidAs se-440.Z $ 3 600; ob 

oo A 

dvs 

) 0 

----_ 

DOLLARS 2 LP:. 

FOR 

omiemA mmic 

Comer1ca Bank 

anonv.comerlea.com 

1001:1140630 4121/A37E224 1891027875111 

90-3752/1211 

932



1025 Second Ave., Adm. #308 - Oakland, CA 94606 

Phone: (510) 879-8188 

Fax: (510) 879-8836 


Please complete the information requested on this form, attach your donation checks made payable to 

Oakland Unified School District, and deliver/mail to the OUSD Grants Office mailbox at the address above 

for budget loading and board review. Contact Valerie Williams, Grants Coordinator, at 879-8826 or by email at 

valerie.williams@ousikl2.ca.us for further information. 

School 

Name 

Marshall 

Site 174 

Marshall 

Site 174 

Print Your Name: 

Yesenia Alamillo 

Signature: 

Donation's Purpose Start 

Date 

This donation will support site 

activities 

This donation will support Site 

activities 

Job Title: , 

Administrative Assistant 

Date: September 7, 2010 

End 

Date 

07/01/10 06/30/11 Wells Fargo Foundation 

Educational Matching 

Funding Source Donation Value* 

Gift Program 

07/01/10 06/30/11 Target 

Take Charge of Education 

„- 

Grants Officer Signature, Approval Date, ' ma Number Assigned: 

(*Donations or grants over $5,000 require board review.) 

File ID Number:_alLnil— 

Introduction Date:_a,-- 

Enactment Number:Sri/2_ 

Enactment Date: 

By: fi 

utsalED re sp 

oA1(3-Alti'ALSERVIC' 

fusioC 

CERTIFIED. 

$60.00 

$44.35 

(012711b 

ett°"- 

Edgar 

61-- 

Rakestraw, Jr., Secretary 


RECEIVED 

SEP 1 4 2010 

ArD UNIFIED SLI 

FIN CIAL SERVICES

OMGRATULATLONSI 

HERE'S YOUR TAKE CHARGE OF EDUCATIONr 

CHECK FROM TARGET 

0211 1428 2140043 

MARSHALL ELEMENTARY SCHOOL 

ATTN: PRINCIPAL 

3400 MALCOLM AVE 

OAKLAND, CA 94605 5353 

On behalf of Target, I'm pleased to present you with your school's 2010 

Take Charge of Education donation check. As dedicated advocates for 

K-12 education, we hope this money provides even more possibilities 

for your school and students. 

Take Charge of Education donations are accumulated when supporters of 

your school make purchases using their REDcard. Target donates up to 1% 

of these purchases to the eligible K-12 school* they've designated. Then, 

each September, we distribute checks to schools across the country. 

Please note: once you cash the check, 

the money for whatever your school ne 

There are no restrictions on how you sp 

To learn more about Take Charge of Education, visit Target.c 

I wish you all the best for a successful school year. 

Sincerely, 

/1(1141tA 

Gregg Steinhafel 

Chairman, President and CEO, Terra Corporation 

• • 

'Subject to Take Charge of Education program rules. See store or Target.comdcoe for • 

• • . 

• • • 

details. REDcardt: Target' Visa' Credit Card, Target Credit Care and Target Check Care . • 

Subject to application approval 02008 Target Stores. The Bullseye Design and Target are 

registered trademarks of Target Brands, Inc All rights reserved 618432 

• 

•. •. 

0 

an use 

roe.' 

201/7 

itr 

4itt: 

The face of this document has a security background and micro printing in the signature line. 

TAKE CHARGE OF EDUCATION* 

TARGET. 


Mail Stop 2A-0 

PO BOX 59214 

WilmsPolls. MN 55459-0214 

PAY Forty four and 35/100 Dollars 

Pay to the 

order of 

MARSHALL ELEMENTARY SCHOOL 


3400 MALCOLM AVE 

•OAKLAND, CA 94605 5353 

=bank. 0000000000033874 

Aspen, Colorado 81051 

lo 2i400431m LO 2/0 L6451: L 26400037738e 

82-164 

2140043 1021 

CHECK NO. 

VOID AFTER 7 MONTHS 

1/(t.144 11"reg: ant and CEA, Targest S 119 

ih the

PAY 

, WELLS FARGO FOUNDATION 

EDUCATION1AL MATCHING GIFT PROGRAM 

P.O. BOX 2157 

PRINCETON, NJ 08543-2157 

I -888-518-4438 

T0 THE 

ORDER 

OF 

Sixty Dollars and No Cents 

Thurgood Marshall Elementary School 

Development Director 


3400 Malcolm 


mt-ECET't 

SEP I 4 

OAIO A 

PIN/ 1ED sr) 

vicEs 

WELLS FARGO BANK, N.A. 

III HOSPITAL DRIVE 

VAN WERT. OH 41891 

56-382.412 

Ill s 4 24 21,11* 1:0 & 20 38 241: 96000 31,90130 

WELLS FARGO FOUNDATION EDUCATIONAL MATCHING GIFT PROGRAM 

Wells Fargo Educational Matching Gift Program 08/27/2010 

Date Employee Employee 

Amount 

Company 

Amount 

06/30/2010 Felecia R. Robinson $60.00 $60.00 

Total Number of Gifts: I $60.00 $60.00 

Date: 08/2712010 Amount:$60.00 

VOID AFTER 180 DAYS 

RECEIVED 

SEP 1 4 2010 

Remarks 

This check represents the quarterly Wells Fargo matching contribut on of employee payroll donations made through the 

annual Giving Campaign. l'he employee funds are transmitted on a separate check. 

OAKLAND UNIFIED SD 

FINANCIAL SERVICES 

942 424 

942424 

ti 

A




Phone: (510) 879-8826 

Fax: (510) 879-8836 





Contact Valerie Williams, Grant Manager, at 879-8826 or by email at valerie.williams@ousd.k12.ca.us for 


School 

Name 

174 

Marshall 


Yesenia Alantillo 

Signature: 


Date 

This donation will support s te 

activities 

Job Title: 

Administrative Assistant 

Date . August 31, 2010 

End 

Date 

07/01/2010 06/31/2011 Wells Fargo 

Community Support 

Campaign 

Grants Officer Signature, Approval Date, Resource Nnnaber Assigned: 

..eci. 

(*Donations or grants over $5,000 require separate 

Re ID Number: 

Introduction Date: iji:a_ F 

Enactment Number: o-..? // 

Enactrnt Date: //- IV 

Ety: 



110/2 77/ b 

leview Legistrar File ID Numbers ) 

CERTIFIED: 

sztLstr" 

$60.00 

Edgar Rakestraw, Jr., Secretary 


(friek

WELLS FARGO COMMUNITY SUPPORT CAMPAIGN 

P.O. BOX 21 57 


1488-518-4438 

- 

PAY 

TO TbIE 

ORDER 

OF 

Sixty Dollars and No Cents 




3400 Malcolm 


WELLS FARGO BANK, NA 

11-24-1210 

111 80 L003 0 L 2 L0002 Lail: 49450729990 

WELLS-PKRGO COMMUNITY SUPPORT CAMPAIGN 

Wells Fargo Community Support/United Way Campaign 07/19/2010 

Date: 07/19/2010 Amount:$60.00 

Endorsement certifies receipt of a charitable contribution in the amount 

of this check. No goods or services were provided by the recipient 


Date Employee Name Amount Remarks 

36/3012010 Felecia R. Robinson $60.00 

Total Number of Gifts: 1 $60.00 

This check represents the disbursement of the employee payroll funds withheld at the request of the employee pledge made 

during the annual Giving Campaign. 

RECEIVED 

gy 1 4 201c1 

Stlfa401 

1.1_4) SD 

icf,S 

80100:3 

801003

File ID Number: /0-- -27 L 

Introduction Date: tft- rc- / 0 

Enactment Number: /0-02 /I 

Enactment Date: (I- /7" /0 

By: el" 




Phone: (510) 879-8826 

Fax: (510) 879-8836 





Contact Valerie Williams, Grant Manager, at 879-8826 or by email at valerie.wi11iams@ousd.k12.ca.us for 


School 

Name 


Date 

Mm Adult Education 

Print Your Name: Carol Robideau 

Signature: 

Job Title: 

Date: 

End 

Date 

0-a--4-4)—e ACqi-d.e.,041 ../ 

Office Administrator 

8/24/10 

Grants Officer Signature, Approval Date, Resource Number Assigned: 


Wells Fa rgo 

$5.00 

enimm irri ty Suppnyt 

Campaign, Check #804521 

(*Donations or grants over $5,000 require separate board review Legistrar File ID Numbers.) 


CERTIFIED: 

J.trea--sm—s7tufrefro 


Board of Education

• 

,WELLS FARGO COMMUNITY SUPPORT CAMPAIGN 

P.O. BOX 2157 


1-888-518-4438 

PAY Five Dollars and No Cents 

TO THE 

ORDER 

OF 


Superintendent 


1025 Second Avenue 



11-244210 

ill 8ot,s nol o 1:1121.00021,81: 4945072999e 



Date: 08/05/2010 Amount:$5.00 



12/31/2006 V.nonymous $5.00 Oakland Adult Education 

otal Number of Gifts: 1 $5.00 

This check represents a reissue of a monthly disbursement of employee funds made during our annual Giving Campaign. 

S tiP 

AUG 1 3 REC'D 

w 

0 u 

804521

1 

OAKLAND UNIFIED 

SCHOOL DISTRICT RECEIVED 

Community Schools, Thriving Students 

sEp 1. 4 2.010 

Grants Office Donation Form cric.4101VattivrEturu 

Please complete the information requested on this form. Attach your donation checks made payable to Oakland Unified School District 

with the name of the school referenced on the check's memo note. For school sites receiving donations: deliver/mail check & form to the 

Office of your Regional Executive Officer/Network Executive Officer for processing and board review/preparation. For central office departments 

receiving donations: deliver/mail check & form to your department Office Manager for processing and board review/preparation, 

Questions? Contact Betty Guerin at 879-8369 or by email at Bettv.Guerin(aousd.k12.ca.us for further information. 


8/2010 OUSD Grants Management Services File ID Number: /0;276? 

Introduction Date:_2( 

Enactment Number: 6' ol 17/ 

Enactment 

Date: ( - (7- lv 

By: iar 

CERTIFIED: 

fr 



Detach at Perforation Before Depositing Check 

Wells ir•arga Bank, N.A2 

115 Hospital Privet 

Van WerL OH 49391 

56-382/412 

it---t7=r-.-=-2 

tY EXACTLY 74rteWaoched ?wettiv Sava surd 1511X Dottat 

PAY 

'0 THE 

ADER 

OF 

.31.1111.1AUS 

# Invoice Date 

ank you for your business! 

, he Employee Owners of Lifetouch Preschool Portraits 

fTHE'EACEIDE THIS CHECK 

Lifetoutb National School Studios 

)1000 Viking /hive, Suite 500 E 

Eden /*raj/ie.MN 55314 

HIGHLAND CDC 

1322 -86TH AVE 

OAKLAND CA 94621 

H• 0 LB 7 113 2 cilo 1:01. L 20 38 241: 9 

600006 28 90 

DEPARTMENT / SITE Ft:77pro-- 

Financial Services Division: 

Pro-Approval Authorization : 

Designated Manager Approval 

Received By 

07/01/10 

Yes 

TOTALS: 

Vendor #: IN0023977 Check Date: 07/02110 Check #: 1874329 

Gross Amount Discount Amount Not Amount Paid 

$327.15 $0.00 $327.15 

'RECEIVE 

$327.15 $0.00 $327.15 

No By 

SE? 1 4 ILC° 

0Aiartmi lshscasst ititreg 

07/02/2010 1874329 

Signature 

- 

53 12Check Amount 

— DI Cash ' Money Order 

• C21 Money Order' • Check No. fel 74cly 

coLC 9 6 ° ) 0 

Cif Check 

Amount 

— EJI Cash Money Order 

Ea Money Order Check No. 

a. 

Date 3 

Li Check 

Amount 

Cash Money Order 

ta Money Order Check No. 

Check 

Amount 

Cash Money Order 

DJI Money Order Check No. 

La Check 

Amount 

Li Cash Money Order 

DI Money Order Check No. 

Total of Deposits 

Phone tr 

Date, 

!JAW, 

itilED 

FINMbw., 

SD 

Date - 

SBR :Mpg 

Date

Fu id: Resource : 

Fund: 

I :- ouFi - !"; 

/ A / / 0 

Fund: 12 

RIERP.ELEPivrif„-Iray 

11•11111111 11111111 111111 

Fund. 

11.11J Laid i . .„4fs;i4 „ 

1:i P111 6r; 4 

111111111111111111111111 

ritiriPUILF 

"stp 

Resource : 

MEIMISta 

.n., 

Fund: Resource : 

Receipt Nos. / Log,Book Entry Dates : 


DEPARTMENTAL I SITE DEPOSIT PERMIT 

etwara 

tiV 

No By 

Source 71bei 

falCheck Amount 

Cash' Money Order 

Purpose ,&s [a Money Order' • Check No. ice 

/ed.ceirat Cy1/4-5-1t-a-aa_ a C-42/S" 96 f/(6/— c6)/-0 

Source D Check Amount 

Ca Cash Money Order 

Purpose U Money Order Check No. 

Source 

Purpose 

Source 

Purpose 

Source 

Purpose 


Date S 

Dattuns 

Ul Check Amount 

La Cash Money Order 

la Money Order Check No. 

U Check Amount 

U Cash Money Order 

Ci Money Order Check No. 

Ul Check 

U Cash 

la Money Order 

Dat:"M*4AL SEAVIca 

Amount 


INSTRUCTIONS: Submit original with remittance to Financial Services ivis ion. Retain copies for your file. 

DEPARTMENT SITE : 

57( CI -.Nsr-1 

Financial Services Division: Received By 

Pre -Approval Authorization : Yes 


Money Order 

Check No. 

Signature 17-7 a Phone # Date

Site 

No. 

School Name DonatiopfsPurpOse 

Cv,cn.c 

t 

Start' End 

Ii4e Date 

, , 

71t6120 

Donor 

(*Do ations or grants over $5,000 mquire separate board review Legistrar File ID Numbers.) 

File ID Number: /0- 741 

Introduction Date: //--if 

Enactment Number: /0.--2/1( 

Enactwnt Date: 11-17—/c/ 

By: 


SCHOOL DISTRICT 


Grants Office Donation Form 




receiving donations: deliver/mail check & form to your department Office Manager for processing and board review/preparation. 

Questions? Contact Betty Guerin at 879-8369 or by email at Bettv.Guerin@ousd.k12.ca.us for further information. 

Donation Check Check 

Valu * Date No. 

/ 27623/ a co,44-14/7 

CERTIFIED: 

0 \ c:05° 

8/2010 OUSD Grants Management Serv" /.0 

stsgS- 

cts 

Edgar Rakestraw, Jr., Secretary ifo/A 


CHASE Cr 2416179881 

1301 2nd Avenue 06/02/2010 

Seattle, WA 98101 

PAY TO THE COX ELEM. SCHOOL 

ORDER-OF 

MEMO 

• 

NINETY-SEVEN AND 70/100 

VOID AFTER 11/30/2010 

WaMoola for Schools' program 

el--- SIGNATURE 

01 24 L6 L 79813 10 1: 3 2 2 2? LEI 274 L000653813 LIP 

C2010 JPMorgan Chase Bank NA Member FDIC 

CUST# - 00157754 F# 15466 

Use perforation to detach check above. 

DATE 

Please co this brief form and return in the enclosed postage-paid envelope to: 

Attn: WaMoola for Schools program 

jleA 

Box 7474, Eden Valley, MN 55329-7474 

‘1‘,4

.K / 9 6 / / 0 e ,‘,. 

Fund: 12 

Fund. Resource : 

Fund: Resource 

sM° : E3D1- 

*41 

1111111111111111111•11 


otrvaiw,.-1.E.a" 6 M.S.:L.21A aSi 

1111111111111M1111 


Receipt Nos. / Log,Elook Entry Dates : 


DEPARTMENTAL / SITE DEPOSIT PERMIT 

IMIIIIIII 

er 

Source C/4-ce 

A Olwalfl. 

ulCheck 

CaCash 

• Ch Money Order 

52r..4,Q__ol-- /&- cf-c -7- ( to< c -2) c., 

L ace_ SW-- 

Source LI1 Check Amount 

Purpose 

CI Cash Money Order 

la Money Order Check No. 


INSTRUCTIONS: 

DEPARTMENT / SITE 

ends! Services Division 

t 

Submit original with remittance to Financial Services Divis ion. Retain copies for your file. 

eriKQt9yo 170 -/Iir--ce-W 

Financial Services Division: Received By 

Pre-Approval Authorization : Yes 


Inn 

Source 

Purpose 

Source 

Purpose 

Source 

Purpose 

Signature 

IVED 

SEP 14 7010 

Amount 

CJI Check Amount 

ca Cash Money Order 

17:1 Money Order Check No. 

a C11 Check 

Cash 

La Money Order 

Money Order 

Check No. 0V4/ / 

Amount 

Money Order 

Check No. 

CI Check Amount 

ID Cash Money Order 

IC:11 Money Order Check No. 

Date





OUSD Donation Form 





Questions? Contact Betty Guerin at 879-8369 or by email at Betty.Guerin@ousd.k12.ca.us for further information. 

Site 

No. 

School Name Donation's Purpose 

Start 

Date 

End 

Date 

Donor 

Donation 

Value* 

S i i eCneiarbAJ C, ,C Tie--(k.71m4A-ty7 ff 7 io/ il/0 0-N(7.01 AT z_. 7--- -4‘144g 6/4 /530/6 744 - - dyceb 

RECEI ED 

____i_..... 

1 . 0 

T I I 

rrwANrnLcEr 

fkb 7t ' d co` 


File ID Number: / --02763 

Introduction Date: 

Enactment Number: /0-'02/( 

Enactment Date: /7—la 

By: 

gfr 

..-.., 

CERTIFIED 

Check 

Date 

S7 pyto 



Check 

No.

OFFICE ACCOUNT NUMBER CUSTOMER'NAME 

atsit 

JPMorgan Chase Bank, NA. 

Chicago, IL 

PAY 

FOUR HUNDRED THIRTY-S. 1X AND 46f1potO 

\ 

To the order of 

OAKLAND UNIFIED SCHOOL DIST 

EMERSON CDC 

1025 2ND AVE 

OAKLAND,CA 94606-2212 

0508889698001 OAKLAND UNIFIED SCHOOL DIST 

CHECK NO. 94589811 

atsct 

DATE 06/14/2010 

CHECK AMT. 436.46 

FOR INQUIRIES CALL 800-847-3595 

SYSTEM 

SYSTEM CODE 

< DETACH CHECK ALONG THIS PERFORATION 

RAPSB 

THE BACK OF THIS CHECK CONTAINS A SECURITY MARK DO NOT ACCEPT WITHOUT HOLDING AT AN ANGLE TO VERIFY SECURITY MARK 

70-23221719 

0 945898 L 1:0 9 232 261: 0009? L 713 211° 

DMe 

06/14/2010 

Pay this amount 

5436.46 

Check Number 

94589811 

Void 100 days from check date




REceivE 

Grants Office Donation Form SE? 01 2° \° 

Please complete the information requested on this form. Attach your donation clualmteiXto 

Oakland Unified School District with the name of the school referenced on theithatenriemo note. For 

school sites receiving donations: deliver/mail check & form to the Office of your Regional Executive 

Officer/Network Executive Officer for processing and board review/preparation. For central office departments 

receiving donations: deliver/mail check & form to your department Office Manager for processing and board 

review/preparation. 

Questions? Contact Betty Guerin at 879-8369 or by email at Betty.Guerin@ousd.k12.ca.us for further 

information. 

School 

Name 


Date 

End 

Date 


S: ten vfe rit Wkii , 111. 444, 17 Wients-4- I /S 3- ao. te 


...Pelfni. 

Signature: 

Job Title: 

7 

--.7----/ 

Da 

SZt 

er,C57/0 

-1 

File ID Number: /0-.2747 

Introduction Date: it—g - to 

Enactment Number . /0--2 11 ( 

Enactment Date: //- (7--' 16 

By: Si- 

Grants Officer ignature, Approval Date, Resource Number signed: 

/ 

1°6410 

(*Donations or grants over $5,000 require separate board reviewlègistrar File ID Numbers.) 


CERTIFIED: 

E'ttgar Rakestraw, Jr., Secretary 


rye&

Barclays Global Investor 

The Met-Ching Gift Center 

P.O.hBox 9002 

Stuart:FL 34995 

PAY Exactly.% 

5,000 

To Glenview Elementary School 

The Attn: Mrs. Brown 

Order 4215 Lacresta Ave 

Of Oakland 

CA 94602 

WACHOVIA 

Salerno Village Squore Office 

6547 S.E. FederalcHighw„ay 

Stuart, FL 34997 • 

"00007S? Loi I:067006 i, 3 21: 20000 20 L sal3 330 

PER 

63-643 

Barclays Global Investor 


CHECK NU. 

7571 

612112010 2 

5 

***$5,000.00 

5

(4) OAKLAND 

UNIFIED 


expect Success 

October 15, 2010 

TO: Valerie Williams 

Donations Office, Room 118 

FROM: John Melvin, Principal jgv\ 

Lincoln School 

RE: Donation Check 

Lincoln Elementary 

225 I lth Street 


(510) 874-3372 (office) 

(510) 874-3375 (fax) 

Lincoln Elementary School has received three donation checks in the total amount of $220.00 

Please deposit the above check No. 2164408 $120.00, check No. 168124 $50.00 and check No. 

170570 $50.00 into the Lincoln School donation account: 1331110107-4310. 

Your assistance in this matter is greatly appreciated. 

Attached: 

• Check No. 2164408 ( $120.00) #82-164/1021 

• Check No. 168124 ($50.00) #11-4288/1210 

• Check No. 170570 ($50.00) #11-4288/1210

e 





Please complete the information requested on this form. 

Attach your donation checks made payable to Oakland Unified School District 

with the name of the school referenced on the check's memo note. 

For school sites receiving donations: deliver/mail check & form to the 




Site 

No. 

133 

133 

Print 

. 

Start End 

Donation Check Check 


Donor 

Date Date 

Value* Date 

No. 

Lincoln School Instructibnal SuppLy 8/30/2010 6/30/2010 

Target 

120.10 8/30/2010 2164408 

\ Take Charge of Education 

Lincoln School Instructional Supply 8/4/2010 6/30/2010 Justgive 50.00 8/4/2010 168124 

Lincoln School Instructional Supply 9/7/2010 6/30/2010 Justgive 50.00 917/2010 170570 

Princi 

(*Donations or grants over $5,0 0 require separate board review Legistrar File ID Numbers. 


File ID Number: 16—G7Ll 

Introduction Date: 114-11, 

Enactmen 

:ic ral( I 

Enactment Date: fi -/ 1--1,-, 

By: gps- 

Edgar Rakestraw, Jr., Seci 


‘44 

CONGRATULATIONS! 

HERE'S YOUR TAKE CHARGE OF EDUCATION° 

CHECK FROM TARGET 

0211 1926 2164408 

LINCOLN ELEMENTARY SCHOOL 


225 11TH ST 

OAKLAND, CA 94607 4409 

On behalf of Target, I'm pleased to present you with yowl school's 2010 

Take Charge of Education donation check. As dedicated advocates for 

K-12 education, we hope this money provides even more possibilities 

for your school and students. 

RECEIVED SEP 10 201 

Take Charge of Education donations are accumulated when supporters of 

your school make purchases using their REDcard..Target donates up to,1% 

of these purchases to the eligible K-12 school* they've designated. Then, 

each September, we distribute checks to schools across the country. 

Please note: once you cash the check, you can use 

the money for whatever your school needs most. 

There are no restrictions on how you spend it. 

To learn more about Take Charge of Education, visit Target.com/tcoe . 

I wish you all the best for a successful school year. 

Sincerely, 

/1741t4 

Gregg Steinhafel 

Chairman, President and CEO, Taryt Corporation 

• 

• • 

'Subject to Take Charge of Education program rules. See store or Target.cornhcoe for • • „ • 

details. REDcardsh Target' Visa* Credit Card, Target Credit Card" and Target Check Care • • • . 

Subject to application approval. 02008 Target Stores. The Bullseye Design and Target are. r • . 

registered trademarks of Target Brands, Inc. Atl nghts reserved. 618432 

TARGET. 


Hail Stop 2A-0 

, PO BOX 59214 

Minneapolis', MN 5505970214 

-The face Of this docurnenihas a security background and micro printing in the signatUre.lin 

• 

PAY One hundred twenty and 10/100 Dollars 

TAKE CHARGE OF EDUCATION° 

*Pay to the 'LINCOLN ELEMENTARY SCHOOL 

order of "ATTN: PRINCIPAL 

1 TH ST 

OAKLAND, CA 04607 4409 

Mbank.000000000.0033882 

Aspen, Colorado 81051 

• 

08/30/10 $120.10 

' VOIDAFTER? MONTHS 

P e ent and 38.0, Target Sto s ' '

Just (Th r • A., JUSTGIVE 

P.O. BOX 300 

.org SAN FRANCISCO, CA 94104-0300 

WWW.JUSTGIVE.ORG/NONPROFITS 

0 

PAY TO THE Lincoln Elementary School 

rt ORDER OF 

0 

k' Fifty and 00/100*******"****************** 

01 

0 . MEMO 

JUSTGIVE 

Wells Fargo 

WELLS FARGO SANK, NA 

SAN FRANCISCO, CA 94103 

11-4288/1210 

8/4/2010 

$t*50.00 

Lincoln Elementary School 

225 11th Street 

Oakland,CA 94607 VCILIIAFTER 180 DAYS 

Cisco Matching Gifts Program 


Date Type Reference 

7/31/2010 Bill 

LLB L 2 1-1 0 1: L 2 LO L, 2138 21:139 LO 2005 Fine 

Original Amt. 

50.00 

8/4/2010 

Balance Due Discount 

50.00 

Check Amount 

168124 

DOLLARS n 

4) 4,0'45x 50.00 

168124 

Payment 

50.00 

50.00

jus Giveorg 

rho: destination tar online chastibie gmnr RECEWED SEP - 2 2010 


.11 Hs, 

Cisco 

JustGive in partnership with Cisco Matching Gifts Program is delighted to send you the enclosed check that represents donations we have accepted on 

behalf of your organization. 

JustGive - the destination for online charitable giving - is a nonprofit organization that enables people to make donations safely and conveniently to any 

of the needy 1.5 million US.. nonprofit organizations via our Web site. 

Your donors already have received electronic acknowledgments of their gifts from JustGive to be used as a tax receipt, so it's not necessary for you 

to send them a tax receipt. 

: Donors who have chosen to provide contact information are listed below, We're sorry, but we cannot provide further information on the donors 

' It a donation enclosed is recurring, it will be indicated under the donors name below. Please note that donor has the right to cancel recurring 

donations at any time, and we are not obligated to notify you of the cancellation. 

At JustGive, we provide the technology and services that increase how and when donors can give to your organization. We welcome new charities, and 

we offer giving.options suited to every typo of individual or corporate donor. .Please visit our Nonprofit Resources area, which was created just for you. 

Learn how to create a nonprofit account, add a "Donate Now" button to your site, track your donations, and more at www.justgive.orginonproffts, 

Also see our Charity Gift Registry and Charity Wedding Center areas and let your donors know about these unique, exciting ways to donate to your 

organization. Our Charity Wedding Center is extremely popular and a wonderful way to attract new donors and donations. 

If you have any questions, please contact us at nonpiofits@justgive.org . Thank you for all the work you do to help make a difference' 

Best regards, 

The JustGive Team 

The Cisco Matching Gift Program 

Idft Date Name Email Address Address Dollar Amount Donated Amount Disbursed 

Donation ID - SF253082 07/28 Anonymous $50.00 $50.00 

Total: $50.00 

This letter was printed on 100% post-consumer recycled paper. 

Please do a t add JustGive to your mailing list as it wastes valuable resources.

Just*Gi 

JUSTGIVE 

/ ve P.O. BOX 300 

.org SAN FRANCISCO, CA 94104-0300 

WVVVV.JUSTGIVE.ORG/NONPROFITS 

irr!, 


SAN FRANCISCO, CA 94103 

11-4288/1210 

9/7/2010 

VOID j ER 180 DAYS 

170570 

2 

8 PAY TO THE Lincoln Elementary School 

I $ ** 5 0 . 0 0 

8 ORDER OF 11; 

o 

1- 

to m ts***c ****,,k**;;Zt**** •-; 1., el. ******************************* 

- a. 9 Fifty and 00/100****"********************* N a* ' rj"rt elA:'''' -; t ' ' 

efr ir '- 

,45,173' 

DOLLARS 

In 

al 

01 

6 

2 

F- 

S 

E 

..n 

8 MEMO 

JUSTGIVE 


225 11th Street 

Oakiand,CA 94607 

Cisco Matching Gifts Program 

0 5 011 1 


Date Type Reference 

8/31/2010 Bill 

Wells Fargo 

, iV. 

'14 46' 

r 

r) 4-J ‘X 

2104 282k 21:89 LO 2005 290 

9/7/2010 

Original Amt. Balance Due Discount 

50.00 50.00 

Check Amount 

/sci,ttk's 

170570 

Payment 

50.00 

50.00 

RECEIVED SEP 17 2010 

50.00 

n g. 

NP

Just Give org 

The desonanon for onhne chanoble pine' 


;11 11 11 II I 

C I SC 0 

JustGive in partnership with Cisco Matching Gifts Program is delighted to send you the enclosed check that represents donations we have accepted on 

behalf of your organization 

JustGive - the destination for online charitable giving - is a nonprofit organization that enables people to make donations safely and conveniently to any 

of the nearly 1.5 million U.S. nonprofit organizations via our Web site. 

0 Your donors already have received electronic acknowledgments of their gifts from JustGive to be used as a tax receipt, so it's not necessary for you 

to send them a tax receipt 

0 Donors who have chosen to provide contact information are listed below. We're sorry, but we cannot provide further information on the donors. 

1:. If a donation enclosed is recurring, it will be indicated under the donor's name below. Please note that donor has the right to cancel recurring 

donations at any time, and we are not obligated to notify you of the cancellation. 

At JustGive, we provide the technology and services that increase how and when donors can give to your organization. We welcOme new charities, and 

we offer giving options suited to every type of individual or corporate donor . Please visit our Nonprofit Resources area, which was created just for you. 

Learn how to create a nonprofit account, add a "Donate Now" button to your site, track your donations, and more at www.justgive.org/nonprofits. 

Also see our Charity Gift Registry and Charity Wedding Center areas and let your donors know about these unique, exciting ways to donate to your 

organization. Our Charity Wedding Center is extremely popular and a wonderful way to attract new donors and donations. 

If you have any questions, please contact us at nonProfits©justgive.org . Thank you for all the work you do to help make a difference! 

Best regards, 

The JustGive Team 

The Cisco Matching Gift Program 

Date Name Email Address Address Dollar Amount Donated Amount Disbursed 

Matching Gift ID - SF253083 08/31 Cisco Foundation $50.00 $50.00 

Total: 

In the name of Anonymous 

$50.00 

This letter was printed on 100% post-consumer recycled paper. 

Please do not add JustGive to your mailing list as it wastes valuable resources.

Co rn rnu ri i 


} SCHOOL DISTRICT 







Site 

No. 

106 


Start 

Date 

End 

Date 

Donor 

Donation 

Value* 

Anthony Chabot 

School Funding for Art Teacher 9/1/2010 6/30/2010 PTA $3,500.00 6/14/2010 2266 


Jonathan Mayer File ID Number: /0-f-2 74 l 

Signature: 

IC-f 1:, Introduction Date: 

can-ovtitain A.A mix Enactment Number: tte —, f 1 I 

Job itle: 

Enactment Date: 1/- /7-- ft" 

Chabot Elementary School By: gi" 

Principal 

Date: 

i September 10, 2010 

Approval Signature by Regional Executive Officerit or ork Executive Officer/Executive Officer: 

anx------ 1 0 (ZVI° ____.. n 

(*Donations or grants over $5,000 require separate a view Legistrar File ID Numbers.) 


Check 

Date 

Ia 

Edgar Rakestraw , n , Secretary 


Check 

No.

Bank of America I Online Banking I Transaction Image Print https://onlineeastl.bankofamerica.com/cgi-bin/ias/A/3/Accou. 

of 1 

Bank of America Online Bank 

BC-CHK : Check Image 

Check Image: 

PAY TOME 

0 ORDER OF 

MEMO 

tameron/sehabot School PTA Mae 

Cita Road 

Oelgont CA WM 

PTA Get to Chabot Elementary SehoS Art Mather 

moo a ass,. 4 1 5 WOO 3 584 0S448.006470 

6/14/2010 

Oakland Unlled School I $ '1E00.00 

Peso Thatnand Rae Htmdred and001100 MIA RE el 12 

Oakland Med Sabot DRAM 

2040;15,g4N082000955 

WIMP ANOKA, la 

OMMA CAMS 

twa1210 

2266 

t?. 

P-1 

Sii/20 

Soir"4 

o s-c> 

5: P4 

-er 

wcc> 

ft, 

0HC /1(11 n 0.17 ALI



1025 Second Ave., Adm - Oakland, CA 94606 

Phone: (510) 879-8826 

Fax: (510) 879-8836 





Contact Valerie Williams, Grant Manager, at 879-8826 or by email at valerie.williamsAousd.k12.ca.us for 


School 

Name 

Adm 


Date 

Print Your Name: Carol Robideau 

Signature: 

Job Title: 

Date: 

ea......,_e_ it2t1-451ta Pal I ..4 ) 

Office Administrator 

9/21/10 

End 

Date 

Grants Officer Signature, Appriv I Date, Resource Number Assigned: 


Wells Fargo 

Annual Giving Campzign $5.00 

Donation by Andrew H. Fong 

(*Donations or grants over $5,000 require separate board review Legistrar File ID Numbers ) 

File ID Number: 10--2711 

Introduction Date: //- -/ 

Enactment Number: /0—.2(i( 

Enactment Date: 11 - / / -to 

By: le) 


RECL, 

SEP 3 

0444 

PrAtiliv NI) Div 

CERTIFIED. 

010 

t IR)to 




RO. BOX 2157 

PRINCETON. NJ 08543-2157 

1-888-518-4438 

PAY 

TO ME 

ORDER 

OF 

Five Dollars and No Cents 


Superintendent 


1025 Second Avenue 



11-24-1210 

08048910•2L000248I: 49450729990 



Date: 09/15/2010Amount:$5.00 

VOID AFFER180 AYS 


10 3/31/2 010 Andrew H Fong $5.00 

Total Number of Gifts: 1 $5.00 

This check represents a reissue of a monthly disbursement of employee funds made during our annual Giving Campaign. 

RECENED 

SEP 30 ZO1O 

ovi1/210_ 11;ANE,,c ,41,A r)itairipivtiticgi 

SUPT 

SEP 2I REC'D 

OUSD 

ed—Og) 

804891 

804891 

8


Et OAKLAND 


UNIFIED 



Please complete the information requested on this form. Attach your donation checks made payable to Oakland Unified School District with the name of the 

school referenced on the check's memo note. For school sites receiving donations: deliver/mail check & form to the Office of your Regional Executive 

Officer/Network Executive Officer for processing and board review/preparation. For central office departments receiving donations: deliver/mail check & form to 

your department Office Manager for processing and board review/preparation. 

Questions? Contact Betty Guerin at 879-8369 or by email at Bern .( ;uerinut,ousd.k I 2ca.us for further info atm 

Site 

No. 


Start 

Date 

End 

Date 

Donor 

Donation 

Value 

Edgar Rakestraw, Jr., e trey 


Check Date Check No. 

District Wide Music Department 7/1/2010 6/30/2011 Delo ne and Touche 75.00 7/26/10 0000458410 

District Wide Music Department 7/1/2010 6/30/2011 Deloitte and Touche 75.00 6/28/10 0000433920 

District Wide Music Department 7/1/2010 6/30/2011 Deloitte and Touche 75.00 8/30/10 0000481458 


MILDRED OTISaik 

Signature: Ca • 

lir 

File ID Number: to I.) 7 6 7 

Job Title: 

Introduction Date: ifrif -"" /6 

OFFICE MANAGER 0 ANCIAL SERVICES Enactment Number: 10- o)/// 

Date: 

Enactment Date: i ( — 17– / 0 

10/27/2010 

By: At 

Approval Signature by Regional Executive Officer/Network Executive Officer/Executive Officer: 

N/A 

(*Donations or grants over $5,000 require separate board review Legistrar Eile ID Numbers.) 

CERTIFIED:

128 Wall Street. 4th Floor 

New York. NY 18905-3994 USA 

12524 481458 1 1 0100 00 

HJ.J.W.U.A.ALAAJW.1.1.11.JH 

Oakland Unified School 

1025 2nd Avenue 

Oakland CA 94606-22 

TRUIST COMPREHENSIVE DISTRIBUTION 

For Donor Information visit: http://truist.com/help 

ACCOUNT ID: 728899 ACCESS CODE: nadmuf 

IN PAYMENT OF GIFTS TO YOUR ORGANIZATION FOR THE PERIOD ENDED: 

FROM DONORS EMPLOYED BY THE ORGANIZATIONS LISTED. 

Donor detail information provided when available. 

Truist will issue the tax receipts as the fiscal agent of a partnering non profit. 

You DO NOT need to issue a taX receipt. 

Ru 1ST 

Altruism nonneetaa. 

120 WakStree4 46 Row 

New Yolk, NY WOOS-3904 USA 

RAY: SEVENTY FIVE AND 00/100 DOLLARS 

11) ,,n1114). ) 

ettorm'ril 

Lt.% 

— 

21 2010 

8008481458 

88/30/2018 

87/31/2018 

Donor TMal Amount Donor Tmal Amount 

Name Pdrie PMd Name Pledge PMd 

DELOITTE & TOUCHE 

James E. Kocins 312.59 25.08 Yemaya Pitts 625.00 50.08 

Total DELOITTE & TOUCHE 937.50 75.00 . 

Check Total 75.88 

Fall. 2089-10 Campaign 

DETACHANDRETAINTHISSTATEMENTFORYOURRECORDS. 

THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE. 

IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. 

,„„),Goven„,,„,“ ORIGINAL DOCUMENT IS PRINTED ON CHEMICAL REACTIVE PAPER WITH MICRO-PRINTED BORDER DO NOT CASH IF THE WORD VOID IS VISIBLE 

TO THE ORDER OF 

Oachovia Bank, National magnetron 

Oakland Unified School District Music Departme 



ARYISCDOIANOJTA IROTIVEIR 

ns00004a ii•SEold I:0 260 128/3 2E100 0 134 561,900 

CHECK NO. 

0000481458 

(I DATEOFCHECK :) 

08/30/10 

CHECKAMOUNT 

$75.00 

Auth - ized&gnature 

-Ewagv.acirsmorslouw..flain, 

8 Ez.-. 

ANSON. 

1-12

sionr--virituisrr 

„./eltruism. connected. 

120 Wall Street, 4th Floor 

New York, NY 18005-3904 USA 

12008 458410 1 1 0100 000 

Oakland Unified School District Music Departmen 



TRUISECOMMERENSIVE-DISTAIBUTION---- - - 

- -G099458410 

For Donor Information visit: http://truist.com/help fl - 07/2612010 


IN PAYMENT OF GIFTS TO YOUR ORGANIZATION FOR THE rPERIOD ENDED: 




You DO NOT need to issue a tax receipt. 

Donor 

Narm 

Total 

Pledge 

Amount 

Paid 

Donor 

Narrm 


James E. Kocins 312.50 25.00 

Total DELOITTE & TOUCHE 937.50 75.99 

Check Total 

Fall, 2009-10 Campaign 

75.09 

Un0100v 0.0.3C0.01.0 

M0193 ,408 06.0149 

1007 irittasir 

euteslonsecad. 

120 Willae4 49, Mar 

New KA NY 100053004 USA 

...„ 

L. 

96/30/26113 

Yemaya Pitts 625.09 

cr/— (2,/c-21

gort 

TRU I ST 

Altmisill. Con neowi. 

128 Wall Street, 4th Floor 

New York, NY 10805-3984 USA 

TRUIST 

AMumOonivectia. 

120 kr49459044: 40 now 

New York NY 10005-3904 USA 

Wachovia Bank, National Association 

9476 433920 1 1 0100 001 

11A.A.111.11.11.01.1.1.1.111.111.11.18 

Oakland Unified School District Music Departmen 



TRUIST COMPREHENSIVE DISTRIBUTION 

1 

8808433920 

For Donor Information visit: http://truist.con&help' 86/28/2018 


IN PAYMENT OF GIFTS TO YOUR ORGANIZATION FOR THE PERIOD ENDED; SI) 85/31/2010 


.\/,;s.) ki 



You DO NOT need to issue a tax receipt. 

Donor TMal Amount Donor Total AmouM 

Name Pledge Pad Name Pledge Pad 


James E. Kocins 312.58 25.88 Yemaya Pitts 625.80 58.80 

Total DELOITTE & TOUCHE 937.58 75.88 

Check Total 75.80 

Fall, 2899-10 Campaign 

tIA0100 go 0 08 011-01.09 

DETACHANDRETAINTHISSTATEMENTFORYOURRECORDS. 

THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE. 

IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. 

ORIGINAL DOCUMENT IS PRINTED ON CHEMICAL REACTNE PAPER WTH MICRO-PRINTED BORDER. DO NOT CASH IF THE WORD VOID IS VISIBLE 

0.1G INA IDOCUIIEPITISPRINTEEPOE4C,Ell D 0 D IF 080 

CHECKNO, 

'0000433920 

' 

. DATE OF CHECK ) 

C 

06/28/10 

PAY: SEVENTY FIVE AND 00/100 DOLLARS nwr 

TO THE ORDER OF Oakland Unified School District Music Departme 



CHECKAMOUNT l) 

$75.00 

loo 00 0 4 3 39 2011° I: 0 260 28 8 LI:20 0 0 0 3 1156 49 0 

E,4 A 

0/4. 

Auth ized Signature 

1- zi 

9gb.

(14 OAKLAND UNIFIED 








Questions? Contact Betty Guerin at 879-8369 or by email at Betty.Guerin©ousd.k12.ca.us for further information. 

Site 

No. 


Start 

Date 

Job Title: 

PRINCIPAL fi, Ar da_ 

Date: 

10/11/2010 

Approval Sign?tca r, egionalecuiiie Officer/Network Executive Officer/Executive Officer 

--) to/z-VIG 

(*Donations or ants over $5,000 require separate_boar-e1-eview Legistrar File ID Numbers.) 

End 

Date 

Donor 

Donation 

Value* 

133 Lincoln School Instruct. Supplies Aug 2010 Jun 2011 Timothy Sheridon $ 25.00 09/30/2010 #5650 

133 II II II II Tze -Ching Szeto $ 100.00 10/03/2010 #2281 

133 H 11 II 11 Tze-Yan Szeto $ 160.00 10/05/2010 #3083 

133 II II II Tze-Yan Szeto $ 80.00 10/05/2010 #3084 


Signature: 

(Funding Source: 133 1110 107 4310) TOTAL. $ 365.00 

JOHN MELVIN 


File ID Number: Ity-r143 

Introduction Date: 11 - 8 — I t 

Enactment Number: /V 

Enactment Date: I I -11- 10 

ica 

By: 

CERTIFIED. 

Check 

Date 



146 

Check 

No.

Po To This 

OavER OF 

tie- 

t: ;42/000248C 00066 & 3? 230 

Wijeatts Mo 

TZE.CHING SZETO 

2737 PACHECO ST 

SAN FRANCISCO, CA 94T16 

02.008 tile 

11-4288/1210 acrcx 

2.2 8 1! t 

yvAt tuaw 

figoto, (-4 ,A-e4 F knE Meartalt.a...-.5StiVp $ 10000 

watsFAfieg BANK 

—C 14- rt," 

I lit L21,04281321:- 931135200So 22B 

1.-•••••••aiam•la itt -:FOrr kerrk KILL. RAW 1,01-Phe.8 VtaPos€-.4 

SWally 

OambiS encli 

Jr 

'

TZE-YAN SZETO 

555 10TH ST, #229 

OAKLAND, CA 94607 

142884210 

1:121,0 2882#: 0 L 318'2 k8 081. 

WM/. Check 

Era RotettlCo 

VALUED CUSTOMER SINCE 1988 

IW

it 









Questions? Contact Betty Guerin at 879-8369 or by email at Betty.Guerin(thousd.k12.ca.us for further information. 

Site 

No. 


,,, A , 

_4., 

Start 

Date 

End 

Date 

Donor 

Donation 

Value* 

CERTIFIED: 

Check 

Date 



Check 

No. 

it-9 Xiacs,e„,ts..4 -727P ..4( A Me 

tts OCS I* i (0 otne 

Print Your Name. -----aerreee a , _gtfatevit, .=_. 

Signature: 

Job Title: 

File ID Number: 

Introduction Date: 

Enactment Number: 

et4-t E.F OF • 0 LcCe_o Enactprent Date . 

By: 

t44 

le- on 43 

/I - 1r - / ` 

ir ..)/ I / 

/ 1 - (1 / (.- 

Date: 

5-- Cc-T.- I a 

i /4- 

Approval Signature by Regional Executive Officer/Network Executive Officer/Executive Officer: / 


8/2010 OUSD Grants Management Services

OPSUPWVVAT IVIGAnikusm.”4 1- nffiNe I VT-10, 

TRANSACTION., 

'REFERENCE 

• . 

GROSS;AM'GliNT 

-PREVIOUS rArIBALANCE NET:AMOUNT 

1010 4 Canine Donatior 09/01/1 ) Canine Donation 5,000.0 ) 0.0 

0.0( 

0.0 0.0( 

5,000.00 

CO 

1028 


19984 

019984 

VENDOR NO. GROSS AMOUNT DISCOUNT RETAINAGE PREVIOUS BALANCE 

NET AMOUNT 

1028 5,000.0 0.0C 5,000.00 

WAYAVIECR 

tras-_-- "tit 8 -- - .vex 

VOifdaraia462858:5-=5-_- 

Cdritractors Libel-rise Ne.-584263 

r rira;st r•-#.4 

iir*Fivelfrouranitapd xx-7400,1111101s*A 

- 

10/01/10 

L998 1, 0 L 2 1 LO 20 361: 0 1,0 1n 8 511040 

CHECK NO. 

19984 

211::"‘ 

AMOUNT 

$5,000.00










Site 

No. 


Start 

Date 

End 

Date 

142 Joaquin Miller Art Supplies 7/01/2010 6/30/2011 


Paulette Smith 

Si natui 

lr.4.A.a2ti K-F 

Donor 

File ID Number: lt v-)7 6- 5 

Introduction Date: #--6-- / V 

6 Enactment Number: /0- ...)// / 

Enactment Date: 1/- ft/ 4.. 

Donation 

Value* 

Check 

Date 

Check 

No. 

Kaiser Permanente Community 

Giving Campaign $125.00 6/30/2010 19560 

Job Title: 

Principal 

By: ei 

Date: 

June 30 2010 / -.411k 10 271 t c 

Approval Signature by Regional Executive Officer/Network Executive Officer/EzellW 

-/-- 

-.4. 



CERTIFIED: 

Ed ar Rakestraw, Jr., Secretary 


KAISER PERMANENTE 

MISER A COMMUNITY GIVING CAMPAIGN 

PERMANEME. thrive RO. BOX 8319 


1-888-470-8018 

PAY One Hundred Twenty-Five Dollars and No Cents 

TO THE 

ORDER OAKLAND UNIFIED SCHOOL DISTRICT 

OF 



1025 - 2nd Avenue 

Oakland, CA 94612 United States 

Bankof America. 

55-33-212 

"0 /9E600 40212003394 00361E/S7242" 

KAISER PERMANENTE COMMUNITY GIVING CAMPAIGN 

Kaiser Permanente Community Giving Campaign 07/30/2010 

Date: 07/30/2010 Amount:$125.00 

19bbU 

Endorsement certifies receipt of a chantable contribution in the amount 

of this check. No goods or services were provided by the recipient 



06/30/2010 Maurer, Debra R. $125.00 Joaquin Miller Elementary School Taxpayer ID 

#94-6184024 

Total Number of Gifts: I $125.00 

This check represents the quarterly disbursement of the employee payroll funds withheld at the request of the employee pledge 

made during the annual Giving Campaign. 

19560

00 plkall WHI1 STAi0P OR SIGN BELOW THIS LINE 

EadR OVANC,IAL INSOISOON LSE * 

_ 

I It,' lea; _70 0,10:"), tna VA?lt ab inoire 

Ck/hUG. 

11F::::.,V 1., nt - LETZ00.T1

1st quarterly report of gifts, donations

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