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Colchester Public Schools
127 Norwich Avenue, Suite 202
Colchester, CT 06415
COLCHESTER
PUBLIC SCHOOLS
Branch Qut to
Learn & Gea
Jeffrey E. Burt Phone (860) 537-7208
Superintendent of Schools jburt@colchesterct.org
1324R
Community Relations
FUND-RAISING ACTIVITY APPROVAL
GIFTS, GRANTS, AND BEQUESTS
School ac “A PNG ea Date lo be
Organization ASVeaald i G & reWater
Contact person sa Anet, = Cron-er
Activity
Date of fund-raising activity
School sponsored: yes no
Gift
Value of ift/donation 4 se _
Movant hast
SqRERINTNELETS SIGNATURE DATE
PRINCIPAL'S SIGNATURE Aha. DATE Slizle ce
BOARD ACCEPTANCE OF DONATION DATE: (IF OVER $500)
[ SOLICITATION OF FUNDS Page 2 of 2