AMADOR COUNTY UNIFIED SCHOOL DISTRICT AMADOR COUNTY OFFICE OF EDUCATION

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

Date: 01 /08/2019 School Site I Department: Pine Grove STEM School Name of person completing this form: Renee Julian

• Description of Gift I Contribution: Cash donation to all teachers 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: Volcano Masons ~~~~~~~~~~~~~~~~~~

Mailing Address: PO Box 1088 Pine Grove, CA 95665

Telephone No.: 209-296-3352

Have you acknowledged receipt of gift/contribution with a thank you letter? Qg 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.

Fom1 No. 49 (Rev. 3/2008)

Pine Grove STEM School Mail: 217 Rex Avenue - Jackson, CA 95642

STEM SCHOOL Location: 20101Highway88 - Pine Grove, California Telephone: (209) 296-2800 - Fax: (209) 296-3133 - Website: www.pgs-acusd-ca.schoolloop.com

Amanda Avila, Principal Renee Julian, Administrative Assistant Bobbi Clinkenbeard, Clerk

Volcano Consolidated Lodge No. 56 PO Box 1088 Pine Grove, CA 95665

Dear Masons of Volcano,

The staff at Pine Grove STEM would like to thank you for your generous monetary donations to each of our teachers. They truly appreciate and are in need of these types of donations. We have always appreciated the Volcano Masons for the amount of effort they put into our school community. Thank you again for your incredible support of Pine Grove STEM.

Sincerely,

G~/ Amanda Avila Pine Grove STEM Principal

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

Date:

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? [ ] Yes ~o

If yes, Maintenance Department completes this section.

Required materials for installation: --------------~

Labor costs of installation: ---------- ----- - ---

Maintenance Director 's Signature: ------------ --- -!

N=e ofDonee/Contribut;:a;:{l~~ Ma1hng Address: l J-;;}~ - ~ Town: :>{}(f..S(n Zip:~

Telephone No.:---- ---------

Have you acknowledged receipt of gift/contribution with a thank you letter? (If yes, please attach a copy of thank you letter.)

~es [] No

**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)

Dear Jackson Rancheria,

On behalf of Amador High School, I would like to thank you for your generous donation

to our library. We are in need of many things in our library including books, furniture, carpet,

and updated technology. Your donation will help us keep our library a place we can be proud

of as a school and a community. Thank you again for your continued support of our schools.

Sincerely, Malinda Hemig

Library/ Media Clerk

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

Date: \\ I~

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? [ ] Yes ~o

If yes, Maintenance Department completes this section.

Required materials for installation: --------------­

Labor costs of installation: ---------------- ---

Maintenance Director 's Signature: ---------------

Name of Donee/Contributor: ~m( Mailing Address: ltWC ==~=~ · ~6:- \>'1.16 }l() Town: S'°Clls\M Zip: CfSJo:Z Telephone No.: -------------

Have you acknowledged receipt of gift/contribution with a thank you letter? (If yes, please attach a copy of thank you letter.)

~es []No

**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)

Dear Catherine,

On behalf of the Amador High School library, I would like to thank

you for your generous donation. With so much emphasis on technology

in schools, it is refreshing to see money put into our libraries. As a

librarian, I feel the responsibility to keep our students interested in books

and visiting the library. Your donation will help me make our library an

even more exciting place to visit. I am tentatively going to use your

donation for new book titles, updated furniture, rugs, decorations and

book shelves. The future of Amador High's library is a little brighter

thanks to the Schiffman Memorial Foundation.

Thank you again,

Malinda Hemig/ Librarian

Page __l_ of _j_ Amador County Unified School District I Amador County Office of Education

Request to Surplus f School Site/Department: +...w1-11-,~111----11r-Hl1"4!-l~~'V-l+-1--------- Date: \ / u I~

Item 1.0. # and Inventory Sticker

-

Description of the Item Including: Brand, Model, Year Purchased

Reason for Surplus Request

\\

Dlt'lb\\utttirr ru-t o~ ~ ) U\D C!D 3 loots \ bv¥ff L8Tc\ .

I I ' '

Administrator'sSlgnatur~ ~ Date: l/H/14 --------------·---------------------------------------------------------------~-----------------------------------------------! ______ !: __________ _ DISTRICT USE 1 Received by Superintendent's Office ~J,LaA l o':!~ CE I VE D Superintendent's recommendation for value and disposa1~thod: JAN 1 5 2018

AMADOR COUNTY PUBLIC SCHOOLS LI t t-<EX AVE , J,<\CKSON, CA

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

Final Method of Disposal:---------------------------------

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

8/201s