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1st quarterly report of gifts, donations

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OAKLAND UNIFIED<br />

SCHOOL DISTRICT<br />

Community Schools, Thriving Students<br />

REceivE<br />

Grants Office Donation Form SE? 01 2° \°<br />

Please complete the information requested on this form. Attach your donation clualmteiXto<br />

Oakland Unified School District with the name <strong>of</strong> the school referenced on theithatenriemo note. For<br />

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

Officer/Network Executive Officer for processing and board review/preparation. For central <strong>of</strong>fice departments<br />

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

review/preparation.<br />

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

information.<br />

School<br />

Name<br />

Donation's Purpose Start<br />

Date<br />

End<br />

Date<br />

Funding Source Donation Value*<br />

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

Print Your Name:<br />

...Pelfni.<br />

Signature:<br />

Job Title:<br />

7<br />

--.7----/<br />

Da<br />

SZt<br />

er,C57/0<br />

-1<br />

File ID Number: /0-.2747<br />

Introduction Date: it—g - to<br />

Enactment Number . /0--2 11 (<br />

Enactment Date: //- (7--' 16<br />

By: Si-<br />

Grants Officer ignature, Approval Date, Resource Number signed:<br />

/<br />

1°6410<br />

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

8/2010 OUSD Grants Management Services<br />

CERTIFIED:<br />

E'ttgar Rakestraw, Jr., Secretary<br />

Board <strong>of</strong> Education<br />

rye&

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