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CITY OF RIVERSIDE <br />Tax ID# 95400-0769 <br />DONATION ACCEPTANCE FORM <br />Name of Donor: Kimco Staffing Services, Inc. <br />Address: PO Box 25190 <br />City: Santa Ana <br />Description of donation: Inter -Agency Career Fair <br />ot <br />1pties <br />VAL j • <br />State: CA Zip: 92799-5190 <br />Donor estimate of current value: $501(X) <br />Potential immediate or initial acquisition or installation cost, any on-going maintenance or <br />replacement cost: N/A <br />intended use: Create a partnership with surrounding cities for public sector employment <br />Conditions of acceptance or donor designation: Utilize funds for Inter -Agency Career Fair <br />Remarks: No Goods or Services were provided by the Cjty in e?congnae for the donation <br />City Department and City Representative receiving donation: Human Resources - Stephanie Haman <br />Deposit Account Code: 2100000-425100 <br />APPROVED / DISAPPROVED <br />09/06118 <br />Date <br />Date Chief Financial Officer Signature (if needed) <br />Date Submitted to Council Date Approved by Council (if needed) <br />Note: The City of Riverside cannot guarantee future funding for repair, maintenance, use or replacement <br />of donated items. <br />Original to City Clerk <br />cc: City Council, Finance Department, Receiving Department <br />