| Tax ReceiptTax Receipt For Donation or Contribution |
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County of Warren Department of Parks and Recreation 200 East 8th Street Front Royal, Virginia 22630 Tax Receipt For Donation or Contribution Warren County Skate Park Project (Please fill out and return to the above address. Upon authorization, this form will be mailed back to you and will serve as the tax receipt for your donation/contribution.
1. Monetary Donation/Contribution (amount): $ ________________ Checks made payable to: Treasurer of Warren County for Skate Park Project 2. Supplies, Equipment, and/or Materials Donated (list below) __________________________________________________ __________________________________________________ __________________________________________________ $ ________________ (Donated Value) 3. Supplies, Equipment, and/or Materials Discounted (list below) __________________________________________________ __________________________________________________ __________________________________________________ $ ________________ (Discounted Value) Individual (or) Business making Donation/Contribution: ____________________________ Address: _____________________________ City: _________________ Zip: _____________ Contact Person: ______________________________ Phone: __________________________ Donation/Contribution Received County of Warren Authorized Signature: _______________________________ _________________ Daniel P. Lenz, Director Date It’s with great gratitude that we thank you for your generous contribution/donation to the Warren County Skate Park Project. Please have this form serve as the tax receipt for your donation/contribution. For your records, our tax-exempt number is 54-6001661. |
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