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1st quarterly report of gifts, donations

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KAISER PERMANENTE<br />

MISER A COMMUNITY GIVING CAMPAIGN<br />

PERMANEME. thrive RO. BOX 8319<br />

PRINCETON, NJ 08543-8319<br />

1-888-470-8018<br />

PAY One Hundred Twenty-Five Dollars and No Cents<br />

TO THE<br />

ORDER OAKLAND UNIFIED SCHOOL DISTRICT<br />

OF<br />

Development Director<br />

Oakland Unified School District<br />

1025 - 2nd Avenue<br />

Oakland, CA 94612 United States<br />

Bank<strong>of</strong> America.<br />

55-33-212<br />

"0 /9E600 40212003394 00361E/S7242"<br />

KAISER PERMANENTE COMMUNITY GIVING CAMPAIGN<br />

Kaiser Permanente Community Giving Campaign 07/30/2010<br />

Date: 07/30/2010 Amount:$125.00<br />

19bbU<br />

Endorsement certifies receipt <strong>of</strong> a chantable contribution in the amount<br />

<strong>of</strong> this check. No goods or services were provided by the recipient<br />

VOID AFTER 180 DAYS<br />

Date Employee Name Amount Remarks<br />

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

#94-6184024<br />

Total Number <strong>of</strong> Gifts: I $125.00<br />

This check represents the <strong>quarterly</strong> disbursement <strong>of</strong> the employee payroll funds withheld at the request <strong>of</strong> the employee pledge<br />

made during the annual Giving Campaign.<br />

19560

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