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TRANSCRIPT
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YEAR /9~9
HEART AND STROKE FOUNDATION - ST. THOMAS/ELGIN COUNTY CfJ_APTER BOX 365 , St . Thomas , Ontario NSP 3V2
CAPTAIN'S REPORT SHEET
Please complete and KEEP ONE COPY for your records; RETURN ONE COPY with your materials
CITY, TOWN, TOWNSHIP __ _.~:...r.I:;....:'HA~-:I~t.s,;.;/l:..;..;;.;..~='.d,=-..:...· ----CAPTAIN'S NAME~ ~ itrx·~ ADDRESS: f(R __ J _ ~ N~P'Z.S?
AREA NO. ------- TELEPHONE: 6, j /- 53 3 Cf
AREA CANVASSED CANVASSER' S NAME ADDRESS PHONE RECEI PT CASH/CHEQUE RECEI PT BK . NUMBERS TOTAL BK. TOTAL
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HEART AND STROKE FOUNDATION - ST. THOMAS_ ELGIN CII~~·r£R P.O . 130X 365, ST. THOMAS, or 245 Pall Ha ll St . 1 London
CAPTAIN ' S REPORT SHEET .;2c!e;-R<ES
Please comp l ete and KEEP ONE COPY fo r your r ecords ; RETURN Ot iS I~P Y with your materials
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ADDRESS : £1? . ,. !9(-L-. ~..c.A'
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HEART AND STROKE FOUNDATION -ST. THOMAS=ELGIN r.HAPTF.R BOX, 365, ST. THOMAS , ONTARIO N5P 3V2
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CAPTAIN'S REPORT SHEET JZJv ~P;ES
Please complete and KEEP ONE COPY for your records; RETURN JUS eiPY with your materials
CITY, TOWN, TOWNSHIP /Cf..~-4/~,~z:d~ CAPTAIN 1 S NAME 2ha.a bvuu, L -
P ) v ADDRE,SS: (!Rs->&~..-
AREA NO. ----------------
AREA CANVASSED CANVASSER'S NAME ADDRESS
TELEPHONE : t; j /. fi -$ ~ ? RECEIPT BK. NUMBERS PHONE
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TOTALS
CASH CHEQUE RECEIPT CE TOTAL BK. TOT"-L + or -
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HEART ANOSTROKE f~TION or ONTARIO
St . Thomas a nd Elgin Canvass
HEART AND STROKE FOUNDATION OF ONTARIO . CAPTAIN'S REPORT Date :;(L .2 9 19..!f...L
AREA: 3 ~ ({~ /k4hgtf1 /tJ.r Make ' , copies: 1) Yoursell 3)~ -oteD r /1ro !L
? J;IJ~ 0() local ollice ol the Heart and Stroke Foundation ol Ontario
CAPTAIN'SNAME: ~ Z-"'= NAME:
ADDRESS: Rl?:i_ ____!___~ ADDRESS: ------------------------________ CODE: ,tC; f 3 S>7' _______ CODE: ______ _
PHONE: {Home) k 31- S?39 {Business) ___ _ PHONE: (Horne) _____ {Business) ___ _
RECEIPT DATE ARENSTREET BOOK# CANVASSER
ADDRESS AND POSTAL CODE PHONE AMOUNT RETURNED
NOTE: PLEASE REPORT ALL MISSING RECEIPT BOOKS -.t...J /J
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HEART ANUSlROK( FOC. INOA.TION Of ONTARIO
St. Thomas and Elgi n Canvass
HEART AND STROKE FOUNDATION OF ONTARIO :-/ -; CAPTAIN'S REPORT Date: ~-c!.
AREA: , .fk'WA</tk i!AAJI'cf, u t(c/. ~A./LI(J,
CAPTAIN'S NAME: ~ ~ ADDRESS: &li.&~
_____ CODE: ,Jll$' f 3s<( PHONE: (Home) /; J( S 31 (Business) _ __ _
RECEIPT
Make ·~ , copies: 1) Yourself 0() local office of the Heart and Stroke Foundation of Ontario
NAME: ____________ _
ADDRESS:
______ CODE: ____ _
PI-lONE: (Home) ____ (Business) ___ _
DATE AREA/STREET BOOK# CANVASSER
ADDRESS AND POSTAL CODE PHONE AMOUNT RETURNED
NOTE: PLEASE REPORT ALL MISSING RECEIPT BOOKS TOTAL$ ----
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HEART AND STROKE FOUNDATION OF ONTARIO '. ' ,•
CAPTAIN'S REPORT .
AREA:~~~ £d Date:
Make three (3) copies: 1) Yourself 2) Zone Leader HEART
AND STROKE FOUNDATION OF ONTARIO ~_:_!' ~~?g;.:>:s-L;g~7)._. --
CAP~AI~'~ ~~ME:-¥-F·~·: ::_. ·:· _·._· ·.··, 3) local office of the Heart and Stroke Foundation of Ontario
ADDRESS: _f_l2 tJ __ _ _ _ AJ --1 I - ~ ~ i POST~L n/ 5 0 3 :;{/ ~CODE._lf --/- _
NAME: _· __
ADDRESS: POSTAL CODE:
PHONE: (Home) 0.. 3/ S ?:>"fj_ (Business) ___ _ PHONE: (Home) _ (Business) ...
. ·' ·~ECEIPT .. ...... . ,, - ADDRESS AND DATE ··-·AREA/STREET BOOK#: ·:. CANVASSER . . POS~AL COD.E PHONE AMOUNT RETURNED·
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HEART AND STROKE FOUNDATION OF ONTARIO
CAPTAIN'S REPORT
Make three (3) copies: 1) Yourself 2) Zone Leader HEART
AND STROKE FOUNDATION OF ONTARIO 3) local office of the Heart and Stroke Foundation of Ontario
CAPTAIN'S NAME: ~ J ~ ADDRESS: If I(J ) p-~ M
~g~~~L Jlj P 3 5 ~ PHONE: (Home) & ?;!o 3; :/j (Business)
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NAME:
ADDRESS:
PHONE: (Home)
RECEIPT ADDRESS AND
POSTAL CODE:
(Business)
AREA/STREET BOOK# CANVASSER POSTAL CODE PHONE AMOUNT
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NOTE: PLEASE REPORT ALL MISSING RECEIPT BOOKS
TOTAL$ (j-$ f I J I
DATE RETURNED
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Date Returned
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HEART AND STROKE FOUNDA.TION OF ONTARIO
Date Returned
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