amador county unified school district amador … · 2019. 8. 21. · 217 rex avenue, jackson, ca...

AMADOR COUNTY UNIFIED SCHOOL DISTRICT AMADOR COUNTY OFFICE OF EDUCATION

AMADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District

Date: I 0/22118 School Site I Department: Educational Services Name of person completing this form: Margaret Shoda Description of Gift I Contribution: jackets for students No goods or services were provided by Amador County Public Schools in return for the contribution. Does the gift/contribution require Maintenance Depa11ment services for installation? D Yes~ No If yes, Maintenance Department completes this section.

Required materials for installation: __ Labor costs of installation: __ Total: ** Maintenance Director's Signature:

Name of Donee/Contributor: _E_l_k_s _L_o__;dg __ e_2_4_2_6 ________ _ _ Mailing Address: PO Box 292 -----------------------Town: Jackson Zip: 95642-0292 Telephone No.: ---- -------

Have you acknowledged receipt of gift/contribution with a thank you letter? [gl Yes D No (If yes, please attach a copy of thank you letter.)

**Note: If maintenance and material costs for installation are unbudgeted or prohibitively high, the Superintendent may recommend Board rejection of the gift/contribution.

Fonn No. 49 (Rev. 3/2008)

October 22, 2018

Elks Lodge 2426 PO Box 292 Jackson, CA 95642-0292

Amador County Public Schools 217 Rex Avenue, Jackson, CA 95642

(209) 257-5353 - FAX 257-5360

Dear Ms. Pam Smith and Members,

Thank you so much for delivering the multitude of warm jackets for the fall and winter seasons which are already upon us. Our students will be so happy to receive them when they return from the annual fall break from school. We will be distributing them to the school sites during the next few weeks.

We appreciate the Elks Lodge 2446 partnering with Amador County Public Schools again this year. We wouldn't be able to reach out to our students that need these jackets without your continued support.

We are well aware that the Elks Lodge 2426 has been helping others all over our community. We feel privileged and touched once again that you are assisting us in the care of our young people and their families. We appreciate your partnership with Amador County Public Schools and look forward to this continuing in years to come.

Kind regards,

~-Gvo~2> Donna Custodio Director of Student Services

DC/ms

AMADOR COUN1Y PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District

Date: Jo/ 2-tt / 1 &'

School Site/Department: ___ J-'--c.._c-_l_l.s_"_"' _ _ E_l.e_~ __ +_a._ v-+)- -----------

Name of person completing this form: ---""""J--'-~-="-~_,U........_J__,_h-'-';'-+,_t-=o'-'

220 Church Street, Jackson, California, 95642 (209)257-5600 Fax (209)223-2366

Barbara Magpusao, M.A. - Principal Jana Whitlock - Administrative Assistant

October 23, 2018

Dear Wells Fargo Employees,

Thank you so much for your generous donation. It is people such as yourselves that help us to provide the extra things for our students that we would not otherwise be able to provide. Thank you once again for thinking of us.

Sincerely,

Barbara Magpusa Principal Jackson Elementary


Date: 10/25/18 School Site I Department: Pioneer VAPA Magnet School Name of person completing this form: Tina Lowerv Description of Gift I Contribution: Book Donation for school library No goods or services were provided by Amador County Public Schools in return for the contribution. Does the gift/contribution require Maintenance Department services for installation? D Yes [g] No

If yes, Maintenance Department completes this section. Required materials for installation: __ Labor costs of installation: __ Total: ** Maintenance Directors Signature:

Name of Donee/Contributor: Devon Palermo ~~~~~~~~~~~~~~~~~~~

Mailing Address: 610 Myrtle Dr Town: Placerville Zip: 95667 Telephone No.:

Have you acknowledged receipt of gift/contribution with a thank you letter? T(ivesD No

(If yes, please attach a copy of thank you letter.)


Fonn No. 49 (Rev. 3/2008)

October 25, 2018

Devon Palermo

PIONEER ELEMENTARY SCHOOL 24625 HIGHWAY 88 PIONEER, CA 95666

(209) 295-6500 Mailing: 217 Rex Avenue Jackson, CA 95642

610 Myrtle Ave. Placerville, CA 95667

Dear Devon,

On behalf of the students and staff at Pioneer Elementary I would like to personally thank you for your generous donation of books. They will be used to enhance the library. Your contribution helps place new engaging books on the shelf for students to read. Leaming to read is a major focus at Pioneer VAPA Magnet School and having many books to put into the hands of our students is key in fostering the love for reading.

The students will be excited about the addition of these books to our library. Thank you again for your thoughtful gift .

. Q l'.4 . A - _... (_. ~Yf

Laurie Carson Principal

SS/ti


Date: 10/25/18 School Site I Department: Pioneer VAPA Magnet School Name of person completing this form: Tina Lowerv Description of Gift I Contribution: Book Donation for school library No goods or services were provided by Amador County Public Schools in return for the contribution. Does the gift/contribution require Maintenance Department services for installation? D Yes 181 No

If yes, Maintenance Department completes this section. Required materials for installation: __ Labor costs of installation: __ Total: ** Maintenance Directors Signature:

Name of Donee/Contributor: Leisa Halgas ------=--------------

Mailing Address: 19419 Fir Dr Town: Pioneer Zip: 95666 Telephone No.:

-~e you acknowledged receipt of gift/contribution with a thank you letter? )8(.Yes 0 No



Form No. 49 (Rev. 3/2008)

PIONEER ELEMENTARY SCHOOL

October 25, 2018

Leisa Ha1gas 19419 Fir Dr Pioneer, CA 95666

Dear Leisa,

24625 HIGHWAY 88 PIONEER, CA 95666 (209) 296-6600

Mailing: 217 Rex Avenue Jackson, CA 95642

On behalf of the students and staff at Pioneer Elementary I would like to personally thank you for your generous donation of books. They will be used to enhance the library. Your contribution helps place new engaging books on the shelf for students to read. Leaming to read is a major focus at Pioneer VAPA Magnet School and having many books to put into the hands of our students is key in fostering the love for reading.

The students will be excited about the addition of these books to our library. Thank you again for your thoughtful gift.

~n~ly, ~

\2~~ Principal

SS/tl


Date: 10/10/2018 School Site I Department: Pine Grove STEM School Name of person completing this form: Renee Julian

• Description of Gift I Contribution: Cash donation of $500.00 No goods or services were provided by Amador County Public Schools in return for the contribution. Does the gift/contribution require Maintenance Department services for installation? D Yes ~ No

If yes, Maintenance Department completes this section. Required materials.for installation: __ Labor costs of installation: __ Total: ** Maintenance Directors Signature:

Name of Donee/Contributor: Pine Grove Civic Improvement Club Mailing Address: P.O. Box 284 Pine Grove CA 95665

Telephone No. : 209-296-7626

Have you acknowledged receipt of gift/contribution with a thank you letter? ~Yes D No


**Note: If maintenance and material costs for instal.lation are unbudgeted or prohibitively high, the Superintendent may recommend Board rejection of the gift/contribution.

Form No. 49 (Rev. 3/2008)

Pine G~ove STEM School !

Mail: 217 Rex A enue - Jackson, CA 95642

Location: 20101 Hig~way 88 - Pine Grove, California

Telephone: (209)296-2800 Fax: (209)296t 3133 Website: http://pinegroveel.amadorcoe.org/ Amanda Avila, Principal Renee Juliart, Administrative Assistant Bobbi Clinkenbeard, Clerk

I

i !

October 10, 2018

Pine Grove Civic Improvement Club,

Thank you so much for your generous donaiion to Pine Grove STEM School. Celebrate Pine I

Grove is such a wonderful event that gives ~ack to our community. We always love being apart

of this event. Our 4th graders truly enjoyed ·f ancing and we even got a few older kids and

teachers out there dancing! Thank you again' for showcasing our school and for your donation.

Sincerely,

Amanda Avila

Principal

AtvfADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District

Date: \ \·- LR-)?; School Site I Department: ? \JMulY 5 11 Town: ?'\v1MntA-t-b Zip: qc)lp( Rq

I

Telephone No. :

Have you acknowledged receipt of gift/contribution with a thank you letter? [8J Yes D No (If yes, please attach a copy of thank you letter.)


Form No. 49 (Rev. 3/2008)

Amador County Unified School District

Plymouth Elementary School f,t PO Box 847, 10601 Sherwood St., Plymouth, CA 95669

School (209) 257-7800 Fax (209) 245-6376

Joe Horacek, Principal

Kathleen Johnson

PO Box 577

Plymouth, CA 95669-05 77

Sara Holmes, Administrative Assistant

November 1, 2018

On behalf of the students and staff of Plymouth Elementary School, please accept

my gratitude for your generous donation to PEP club. Your support will make the Dia de

los Muertos celebration even more profitable. While the evening was in itially intended

as a learning/cultural experience, it is also great to raise a little money for the club and

our students.

Your generosity is appreciated.

Principal

Plymouth Elementary School


Date:~/1

Amador County Unified School District

••• Plymouth Elementary School •tii PO Box 847, 10601 Sherwood St., Plymouth, CA 95669

School (209) 257-7800 Fax (209) 245-6376

Joe Horacek, Principal

October 26, 2018

Michael Spinetta P.O. Box 752 Plymouth, Ca. 95669

Sara Holmes, Administrative Assistant

On behalf of the students and staff of Plymouth Elementary School, please accept my gratitude for your continued support of our school. Your donation to 'purchase' the remaining t-shirts and give them to students who are in need shows your true character. You have been a support to me personally, to our Plymouth community, and to our school.

I look forward to nurturing a relationship with you as I appreciate your investment in me and your introduction to and inclusion in the community.

Joe Horacek Principal Plymouth Elementary

Page -/ of

Amador County Unified School District/ Amador County Office of Education Request to Surplus

I ,

School Site/Department: So++e.A. c /(!._.e_ e /'-. &1' m4e'1" Date: I 0- ;). _? - /)( Name of Person Completing Form: I · Z *'/ · /~ Superintendent's recommendation for value and disposal method:-----------

Board Approvalsenttosite: _____________ o.ate: ----

Final Method of Disposal: ~ - W Ct.S ~ Responsible Employee' s Signature: ___________ Date: ___ _

8/2015

Page / of)__

Amador County Unified School District I Amador County Office of Education Request to Surplus

School Site/Departments v i-t-t2.fL c /2_ e Q I- &1't'\1 ~

Date: JO~~- /K

Name of Person Completing Form: keut µ G e)/L K I u'-

Item l.D. #and Inventory Sticker Description of the Item Reason for Surplus Request

lncludlnir: Brand, Model, Vear Purchased i--- · .

AMADOR COUNTY- -USO

Page / of / --·F-Amador County Unified School District/ Amador County Office of Education

Request to Surplus

School Site/Department: b~ s+r-'1 2....:\ ol d.- i'°( fL I x~ 5 I f\fSS Date: I 0 , Jc,-(~ I

NameofPe~onCompl~ingForm:_~~/-~-~~-r-~~--~--~-e_1_D_~-~------------

Item 1.0 . #and Inventory Sticker Description of the Item Reason for Surplus Request Including: Brand, Model, Year Purchased

4440 AMADOR COUNTY

USO ThinkPad lab top Old not in use

1111 111 11 111 11 111 11111 11111 11111 11 111111 004440

,.,

Administrator'sSlgnature:#'tZ11~ -/J;~~ Date: {_o .::i-r- t Y ~;~~;;;-~;~------------------------------------------------------------~-=---s-----------------------------------------------------------------

Received by Superintendent's Office _9...._(h ........ ""lJ"""""MJ"'--''+----------------Date: f () · ~{) · 13 Superintendent's recommendation for value and disposal method:----------------- ---

Board Approval sent to site: _______________________ ,Date:

Final Method of Disposal: e._ ,. lA...; t:f Z, J-e.._, Responsible Employee's Signature: ..... ~--""--"'--....'--#-h'J'--"'__,.__ _ __;;_/}/7--"'_..:.___~ __ ___.."'"'""'=""-"'"'..

' ' I Page __ of __ _ Amador County Unified School District I Amador County Office of Education

Request to Surplus

~~ . . 5 . School Site/Department: l ~I ( Cl t1 011 ll { { r v' I Cl 5 Date: / l · 0 J · / i Name~Pe~oncompletingForm:~~M~d~f~g~a+~-+t-~~h_o_d_~~~~~~~~~~~~~~

Item l.D. #and Inventory Sticker Description of the Item

Reason for Surplus Request Including: Brand, Model, Year Purchased

AMADOR COUNTY ''i Plll c p~ 0Llt do.,f;lq USD ~ 1111111 11111111111111111111111111111 1111 i~

003936 I .. - . ~ .. - ~

Administrator's Signature: _...::;~-6-''""'~---""--L:_.;._ _ _.' ... ~=-~-- Date: I do ( / U? DISTRICT USE

Received by Superintendent's Office--..f{J....-.-1· ... J_J ... u.._/l .... J+-. _____________ Date: 11 (d-/ l ~ Superintendent's recommendation for value and disposal method:-------------------

Board Approval sent to site: ______________________ Date: -------

Final Method of Disposal: ______________________________ _

Responsible Employee's Signature: ___________________ Date:--------

! .~r;Ji~! !\Ml\DOR COUN1'Y PUBLIC 0c1-JOOLC) OVERNIGHT FIELOTRJP REQUEST FORM

For the Board Meeting Dared: _ _ . _ . __ _____ _ _

School: . /J.f.,0c 1\) ,:1 vi_ f/, C9 ~\ .5c ~1C

/11s1r11ctor 's Signature: ..u.~::_,:.,~=::..::.:.:=...,:;..:;.:.x:~!_- __ _

Site Administrator:

Date. _ ~ 7;,-/8 Date. ___ /I 1 1"0

• NOTF.: 'l'l11s fo rm nccJs to be sub111111ed to the ~uperi111cmicn1 "; Office :11 lea$! I w eek p rm r tu thl' sd1cd u lc.

I ll/2/!J I .cs

amador county unified school district amador … · 2019. 8. 21. · 217 rex avenue, jackson, ca...

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