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City of Puyallup DONATION AGREEMENT DONOR NAME: DONOR ADDRESS: MONETARY DONATION: The undersigned donor(s) hereby agree(s) to donate to the City of Puyallup the amount of $ , which donation shall be considered complete upon acceptance by the City Manager and receipt of the funds by the City. NON-MONETARY OR IN-KIND DONATION: The undersigned donor(s) hereby agree(s) to donate: to the City of Puyallup. This item has a value between Twenty Five Dollars ($25.00) and Five Hundred Dollars ($500.00). The donation of this item shall be considered complete upon approval of the City Manager and receipt of the donation by the City. The undersigned donor(s) hereby agree(s) to donate: to the City of Puyallup. This item has a value greater than Five Hundred Dollars ($500.00). The donation of this item shall be considered complete upon approval of the City Council and receipt of the donation by the City. The City represents that it is a duly organized and existing municipal corporation of the State of Washington and that the donation funds will be used to the extent possible only for the following purpose(s). Attach a separate statement if more space is required. The City of Puyallup will make all reasonable efforts to fulfill the specific purposes as outlined above for this donation, but if the specified donation purposes are not feasible, substitutions for like purposes will be made. The donated fund/assets will be managed and accounted for by the City in accordance with City of Puyallup Ordinance No. 2501, dated December 16, 1996. ---PAGE BREAK--- Donor Signature Date Assigned Department Director's Signature Date Final signature for budgeted in-kind donations City Manager's Signature Date Monetary donation; Non-monetary with value between $25 and $500 only Mayor's Signature Date Non-monetary donation with value greater than $500 only FOR FINANCE USE ONLY Date Donation Received: TR #/Date Deposit Account: SIGN SIGN SIGN SIGN