AMADOR COUNTY UNIFIED SCHOOL DISTRICT AMADOR COUNTY OFFICE .OF EDUCATION
.t\MADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
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 IXJ No
If yes, Maintenance Department completes this section.
Required materials for installation: - - --- - - -------
Labor costs of installation: - - - - - ----- --------
Maintenance Director 's Signature: ---------------•
Name of Donee/Contributor: ~ ~<YL. ~e41.a.,) MailingAddress: ,/!/12.'Z..£ 0~1 .)'il.4')e., Town: ,/JJau1 .~fl(,, Zip: ~f4;;/j;_£ Telephone No.: - - -----------
Have you acknowledged receipt of gift/contribution with a thank you letter? (If yes, please attach a copy of thank you letter.)
~ Yes []No
**Note: If maintenance and material costs for installation are unbudgeted or prohibitively high, the Superintendent may recommend Board rejection of the gift/contribution.
Form No. 49 (Rev. 3/2008)
• ("' I
AMADOR HIGH SCHOOL A California Distinguished High School
330 Spanish Street - Sutter Creek, CA 95685 - Phone (209) 257-7300 - Fax (209) 267-5942 Principal: Mrs. Jessica Dorris - Vice Principal: Mrs. Nicole Gravette
April 30, 2018
Mr. Loren Lukens 14075 Steven Lane Pine Grove, CA 95665
Dear Loren, )
On behalf of Amador High School, thank you so very much for your donation of labor and materials to build the new display case for the Academic Wall in the Administration Building. It looks beautiful, matches the other display cases and will allow us to display several more years of our student's academic successes.
We are very grateful to you for this display case. You, along with many others, can enjoy browsing our extended Academic Wall when you visit Amador.
Sincerely,
~~ Jessica Dorris ::
Principal
Tax ID #94·2645622
AMADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
Date: ~! Schoo] Site I Department: /w(pvu< f cJJ19t .... 1 Cvil./t/.Jd<i.-f Name of person completing this form: Cfa,y/ul- 1:3.cfl.11-f:;;i., Description of Gift I Contribution: :J ~ l)oo No goods or services-were provided by Amador County Public Schoofs 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 Director 's Signature:
Name of Donee/Contributor.· Jae,-.,. A~ :') ~-"'---~-<.~1:tJ?ic,,, "'-' Mailing Address: Po 1.3 oy 10'1 o Town: Jo. (UD->o .
Telephone No.: ((<;Jvu)9~') c1'1&le Zip: Cj57J!:f_::i. _ _ _
Have you acknowledged receipt of gift/contribution with a thank you letter? fg] Yes 0 No af1/lf? a cf.<:) f'Y\ ru &rt · (If yes, please attach a copy of thank you letter.)
**Note: If maintenance and material costs for installation are unbudgeted or prohibitively high, the Superintendept may recommend Board rejection of the gift/contribution.
Form No. 49 (Rev. 312008)
ARGONAUT HIGH SCHOOL "A CaJitornia Distinguished school"
50 l Argonaut Lane Jackson, CA 95642
209.257-7700 FA..-X 209.223.3 149
Dear Jackson Rancheria Band of Miwuk Indians,
J Weint to extend my sincere gratitude for Jackson Rancheria Band of Miwuk Indians' contribution to the renovation of our existing teacher's room at Argonaut High School. Your generous contribution could not have moved forward without your generous contribution and support.
On behalf of Argonaut High School, I want 10 thank you for helping us make a positive difference on our campus.
Thanks again for your generosity and support,
Clarissa Bellofii Counselor Argonaut High School 501 Argonaut Lane Jackson, CA 95642
J have included before and after photos of the Teacher's Staff Lounge.
Once again, thank you!
AMADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
Date: 5-\ \- \ f() School Site I Department: 'P k~moLA.+~ Nrune of person completing this form:<l--l@ ~\M~ Description of Gift I Contribution: $ 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 IZJ 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: _ D--=--o_(h_..:....;_l _~\.!.....J.·,--=c=----_' ,..__\ \ ....... \ ' """"ll'-'-C_...\ _____ _
Mailing Address: Q qe \1 tt'\C ~ fur ~c\ , Town: < Joi. .. cv.ScY) , Ca. 1
Telephone No.: ' - - --- -----
Have you acknowledged receipt of gift/contribution with a thank you letter? ~YesO 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.
Form No. 49 (Rev. 3/2008)
- ' Amador County Unified School District
Plymouth Elementary School-.. ....... , PO Box 847, 10601 Sherwood St., Plymouth, CA 95669
School (209) 257-7800 Fax (209) 245-6376 Donna Cl4stodio, Principal
May 11, 2018
Dominic Vicari 248 French Bar Rd. Jackson, CA 95642
Sara Holmes, Administrative Assistant
On behalf of the students and staff of Plymouth Elementary School, please accept my heartfelt thank you for your generous support of our School. Your generous donation of $1,600 will be used to buy a physical education shed for our playground and equipment to go in it as well. We are also planning on painting activities on our playground to keep our students busy and active. Your involvement in our school builds a wonderful bond between the community_ and Plymouth School.
Thank you, Mr. Vicari, for your efforts on behalf of Plymouth Elementary.
_, Sincerely~ ~,,.-·J7.~f0J ~nna Custodio
Principal Plymouth Elementary
AMADOR COUNTY PUBLlv SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
Date: S/q_ (1<6 ---- . .,.....--, , I , School Site I Departmenk ) {LCJLi&iY\:.._J r IAi B l,..__ Name of person completing this form: ,~"t e_ il\1 i - i, 'c.L-v...._. Description of Gift I Contribution: (~~ 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 Director 's Sjlfrtature:
Name of Donee/Contributor: A\ n C>l'\.~JV\. 0CA. '.:'::> ) ot\ e.r ___ _ Mailing Address: _ --,.--------------Town: Zip:
~ .,.. ,.
Telephone No.:
~~ou acknowledged receipl\Q.f gift/contribu~th a thank you letter? k{YesO 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.
~!her/JI- <40~ nvl-e. vvft s ~vr1 faA.-1-,
Form No. 49 (Rev. 3/2008)
AMADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
Date: 5 / Jl Jig School Site/Department: '5 Lctle '(' c f'e,e_):._ pr\ 'N\OA' '\
Name of person completing this form: _\.:......7
..:..._r_ac..-=-'{f-----~------------
Description of Gift/Contribution: ~(}.:::....i.cl-L-'~LO:Qfe=i.;;1o<:.1..f _ _ ___ _ _ _ ___ _ _ _ _ _
No goods of services were provided by Amador County Public Schools in re tum for the contribution ....
Does the gift/contribution require Maintenance Department services for installation? [ J Yes !><1 No
If yes, M11intenance Departme11t completes this section.
Required materials for installation:--- - - ---- - - - -
Labor costs ofinstallatio'ti: - ------- ---- - - ---i
Total: - - --- - - - - "'*
Maintenance Director's Signature: - --- - ---- ---- -i
Name of Donee/Contributor: '5 + . \<'cc\:ha. Y" I ne. 0 r e;xeo j CA;\-'b b l i , _ Po.. f' O h
Mailing Address: 11 3 (0 1 Pco4~ci Dr
Town: "::f etGk:So n
Telephone No.: ------'~----------Have you acknowledged receiptof gift/contribution with a thank you letter? (If yes, please attach a copy of thank you letter.)
[ ] Yes [ J No
**Note: If maintenance and material costs for installation are unbudgeted or prohibitively high, the Superintendent may recommend Board rejection of the gift/contribution.
Form No. 49 (Rev. 3/2008)
PRIMAl<Y CAMPUS:
(20\1) 257 -7100 (209} 267-92 10 FAX
May 14, 2018
AMADOR COUl'iTY UN1r-1&r> Sc1mo1. OtsTRJCT
SUTTER CREEK ELEMENTARY SCHOOL 340 Spanish Street
Su11er Creek. CA 95685
A "Cnlifoniia Oistinguishcd Schoof" SC~·>ICU sd•l':l .. •rhool 101)!),('" Ill
DEVEWPING LtPE L ONG LEA.RNF.RS
St. Katharine Drexel Catholic Parish 11361 Prospect Dr. Jackson, CA 95642
LJppr,R ELEMt!NTARY CAMPUS:
(209) 257-7200 (209) 267-1231 Fax
On behalf of the students, staff, and parents of Sutter Creek Elementary School, I would like to
personally thank you for your donation of art paper to our school. Your generosity is much appreciated.
We will put your donation to good use in our art program.
Thank you again for your support of the students, and staff of Sutter Creek Elementary.
Sin7o/, , . fl/ . b t {)1$ d-Nicole Gravette NG/ta PC:ACUSD School Id #94-2645622
AMADOR COUNTY PUBLIC SCHOOLS Acknowledgment of Donation of Gift/Contribution to District
Date: SI lb J t8
School Site/Department: 5 \.cttc " Cree'K ?e I n-.a.'"'i Name of person completing this fonn:\v_.L...!..'f'...s.a~co..:"{~.LA..l...L.Cro~e,,~nui-1.....-___ ____ ____ _
Description of Gift/Contribution: ~ 1 sJo ~ Cd uco:..t·1 c~ v>a \ lJ\gj;:c,h\ ''j £~ .,y\
p roe, "'c\. vY'v
·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? ( ] Ye~ No
If yes, Mainte11ance Department completes this section.
Required materials for h1stallation: - - ------- --- ---i
Labor costs of installation: ----- ---- ---------i
Maintenance Director's Signature: - ------ --------I
Name of Donee/Contributor: W e \ \,~ Pot r 8 o Pa. Y\ ~
Mailing Address: \ l ))) o. j n S-1-.
To-wn: :fa.c ~Son Zip: C\ SlcY ~
Telephone No.: _ _......~----------
Have you acknowledged receipt of gift/contribution in1th a thank you letter? JxJ Yes [ J 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.
Farm No. 49 (Rev. 3/2008)
0!26l92:0j_
-AMAD011 COUNTY VNll'IED SCHOU!. D1STRJCT
SUTTER CREEK ELEMENTARY SCHOOL 340 Spanish Street
Su11er Creek. CA 95685
P RIMARY CAMPUS:
{209) 257-7100 (209) 267·92 IO FAX
A "California lJi5tinguishcd School"' •CS-11cu~d-c:1.1'rl1oollooo.cnm
UPPER ELEMENTARY CAMPUS:
(209) 257-7200 (209)267-1231 rax
May 10, 2018
Wells Fargo Bank 11 Main St Jackson, CA 95642
DEVELOI'ING LIFE LONG LE.AllNERS
On behalf of the students, staff, and parents of Sutter Creek Elementary School, I would like to personally thank you for your wonderful donation of $120.00 to our school through the Wells Fargo Community Support Campaign and Educational Matching Gifts Program. Your
generosity is amazing.
We will use your donation to help fund libraries for each of our classrooms.
Thank you again for your support of the students, and staff of Sutter Creek Elementary.
Nicole Gravette Acting Principal
NG/ta PC:ACUSD School Id #94-2645622
Page_....._}_ of {
Amador County Unified School District/ Amador County Office of Education Request to Surplus
School Site/Department: SLtf-<hu Yc..??k Z (e tr1f Date: ----'--"s='-'/'--4~~--=-{--"'f'-----Name of Person Completing Form: Ch /' l Liv Id a,,. L; ,/Y 4jd
Item l.D. #and Inventory Sticker Description of the Item Reason for Surplus Request
lncludln«: Brand, Model, Year Purchased
AMADOR COUNTY.:--- Oe.-Vl CCJ/11fJ~ ~ /'() /L..e_f\--USO
l~lli/11111 II~ 11~!111~ 11111 ll~ml 004700
.... __ ... ·- ·-
Administrator's Signature: ---z;;;:; 2 --:z5<-..<... t Date: .J/l//;8 DISTRICT USE
Received by Superintendent's Office _ _ ___________________ Date:-------
Superintendent's recommendat ion for value and disposal method:--------------------
Board Approval sent to site: _______________________ ,Date: --------
Final Method of Disposal: (!__ - VJCt ) k Responsible Employee's Signature:-------------------- Date: -------
a/2015