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13 Individual Private Donations
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CITY OF RIVERSIDE <br />Tax ID# 95-600-0769 <br />DONATION ACCEPTANCE FORM <br />Name of Donor: 13 Individual Donations <br />vED <br />FEB 2 0 2019 <br />ciiy of Riverside <br />City. Clerk's Office <br />Address: 2202 Ravencrest Ct. City: Riverside State: CA Zip: 92506 <br />Description of donation: 13 Individual donations in appreciation of the Are Department. <br />Donor estimate of current value: $3.506.00 <br />Potential immediate or initial acquisition or installation cost, any on-going maintenance or <br />replacement cost: N/A <br />Intended use: Marketing for fireworks campaign <br />Conditions of acceptance or donor designation: Keep the names of the Donors Private <br />Remarks: No Goods or Services were provided by the City in exchange for the donation <br />City Department and City Representative receiving donation: Fire Department/La Wavne Hearn <br />Deposit Account Code: 3500000 1374222 <br />APPROVED / DISAPPROVED <br />/ /q <br />Date Department Head/Erected Official Signature <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 />
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