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06.h Scandia-Marine Lions Donation_Hay Lake Shelter
RECEIVED SEP 12 2025 CITY OF SCANDIA SC® IN KIND CONTRIBUTION RECORDING FORM DONOR INFORMATION Name: 5; I^e E:; Address: 1-3 Phone: Email: G'reL.- d DESCRIPTION OF SERVICES, EQUIPMENT, AND/OR MATERIALS PROVIDED, QUANTITY, HOURS AND PURPOSE: w� iA"1 10 U (`L-� ff I 1 I� Pipp �GN� Ct Ci(n/f/ ✓� �� � -- /✓(Y'tG `�\ t.��5 G�yl(l� rn $L'/orl <i +c ew- C'L} Ipo hp 44"t Ickr-' AIfGn"[- s4r� k9/)O/- I-'-9. r Omm�+r1�'F�-/ t/o7Un ��S /rj/`ucr 1? nn r L �A� , Pofn . W e L_ I K 4-.Iew-L-1 4-urr. .9 H.s�,�,s Qhsl 11� DONOR SIGNATURE: STAFF SIGNATURE: