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TNE HOWARD C's.�u���rr�ou�aa�iarv <br /> ACKNCJWCEDGEMENT O�CHARITRBL£CQiVTRIBLfTiON <br /> As a representaCive of my organization, I h�reby �cknowledge receipt of the charitabfe contribution <br /> marle by the Howard G. Buffiett Foundation, f cel�ify that na benefit was provided to the Foundation ar <br /> 2ny person associated w;th the�oundat4on in return for this contribution. <br /> Plecrse print ar type infarmotlon,sign and promptly return by fax,mail�r scanned email at#achment ta: <br /> The Noward G.6u�fett Foundatian <br /> ATTN:Vice Presideni of Qperations <br /> I45 N. Merchant St. <br /> Decatur, !L 52523 <br /> Fax: (217)423-9287 <br /> CaC@I��bfoundation� <br /> ORGANi2ATI4N NAME: ��.._. .�- , ,r �,� 't'�� <br /> ��-O �-�0�"ttr �-- <br /> PROJECSTfTL�;_ �,�.� ��� ���_;_ r <br /> '��l .L—er— <br /> ESTlMATED TIMECiNE OE PROJECz': �,� t ;zL;,y� -�,\r '�G� _��� �i���,-�,.� <br /> AMOUNT OF CASH CONTRIB(1TlOiV: �SGv,r,c,Q <br /> NAME QF REPR�SENTAi'fVE: �,_,� �, �, <br /> �--.� <br /> -�'�2� —' �c.�.. <br /> TITLE pF REpRESENTATIVE; ��,; „�,� � � <br /> a�a�� <br /> 51GNATURE: �, �� <br /> DATE: f�-1 ��S ��`� <br />