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CITY OF RIVERSIDE <br />Tax ID# 95-600-0769 <br />DONATION ACCEPTANCE FORM <br />Name of Donor: Riverside Community Sailing Program <br />Address: PO Box 2223 City: Riverside State: CA Zip: 92516 <br />FEB <br />Description of donation: For ticket sales and lunch with the Mavor certificate <br />Donor estimate of current value: $175 <br />Potential immediate or initial acquisition or installation cost, any on-going maintenance or <br />replacement cost: NA <br />Intended use: For printing costs associated with the Restaurant Training supplies for the Purple <br />Cities Alliance. <br />Conditions of acceptance or donor designation: $175 will be deposited into account 0120000- <br />453232 to cover printing costs <br />Remarks: <br />City Department and City Representative receiving donation: Office of the Mayor -Kathy Young <br />Deposit Account Code: 0120000-374222 <br />Exp. Account Code: 0120000-453232 <br />APPROVED / DISAPPROVED <br />/E7.47a <br />Date <br />0.A <br />Department Head/ lecied Ofcial Sign ure <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 />