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Colchester Public Schools
127 Norwich Avenue, Suite 202
Colchester, CT 06415
COLCHESTER
PUBLIC SCHOOLS
Branch Our
mn & Geatt
Jeffrey E. Burt Phone (860) 537-7208
Superintendent of Schools jourt@colchesterct.org
1324R
Community Relations
FUND-RAISING ACTIVITY APPROVAL
GIFTS, GRANTS, AND BEQUESTS
School Jack Warkrke- Date 5/)2 f22
Organization a VG
Contact person \ KSac | econ
Activity
Date of fund-raising activity
School sponsored: yes no
Gift
Value of gift/donation >. 3 3. 0D0 5 vs
LUipantthwee _ sLip>
SapeRIE DES SIGNATURE DATE
se ;
Goo Mowe Cs
PRINCIPAL'S SIGNATURE CQ — DATE Sli 22
BOARD ACCEPTANCE OF DONATION DATE: (IF OVER $500)
[ SOLICITATION OF FUNDS Page 2 of 2|