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   Donations Receipt  

Donation Receipt

Community Center at Tierra del Sol

(Cathedral City Senior Center)

37-171 West Buddy Rogers Ave

Cathedral City, CA 92234

Tax Identification # 95-3618489

 

Questions?  Contact us at (760) 321-1548  Thank you for your support!

Type of donation (circle one):

 

 

 

 

CASH / GIFT CERTIFICATE                 MATERIALS                          SERVICE                                ITEM

 

Description of donation:

 

 

 

 

 

Value of donation (by donor):$

    Donor name: ___________________________________________________________________________

    Address: ______________________________________________________________________________

    City: _________________________________________________________________________________

    State: ________________________________________________________________________________

    ZIP / Postal code: _______________________________________________________________________

    Telephone: ____________________________________________________________________________

 

Senior Center Use only:

Received by: _________________________________________    Date: ___________________________

Title: _________________________________________________________________________________