Achieve-A-Bowl Donation Receipt

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601 Noble Drive
Fort Wayne, IN 46825
P: 260-484-2543
F: 260-483-2133
Achieve-A-Bowl Donation Receipt
Junior Achievement of Northern Indiana is exempted as a Nonprofit 501(c)3 Education
Organization under the laws of the State of Indiana, Tax ID #35-0922731.
Donor Information
Company: _____________________________________________________________________
Address: ______________________________________________________________________
City, State, Zip: _________________________________________________________________
Donated Item(s): ________________________________________________________________
Approximate Value: _____________________________________________________________
Signed
Date: ________________________
Maureen Shippy
Achieve-A-Bowl Chairperson
260-484-2543 (p)
260-414-8034 (c)

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