DONATION REPORT HUMAN SERVICES.PDF

HD
lel Services Department
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Maricopa County Policy: Policy for Receiving Donations A2508
Attachment A
(Cash donations less than $250 and Non-cash donations less than $1000 in value)
Select one*
Date of Description of Item(s) Restricted Non Value
Donation Restricted (Amount)
11/6/2013 Walmart Gift Card — (Head Start classroom * 50.00
supplies)
11/7/2013 Costco — (Head Start classroom supplies) * 40.00
If the item is restricted to use, please describe in the "Description of Item(s)" field.
Return completed form to Assistant Director of Administrative services by the 4 th day of the month following the
acceptance of the donation.