County name County Extension Center
Street address
City, MO ZIP code
PHONE
phone number
EMAIL
WEBSITE
email address
extension.missouri.edu/county name
Thank you for your gift
Thank you!
Date
The County name County
Extension Council gratefully
acknowledges a gift from
Donor name
Donor's street address
City, State and ZIP code
of
$
or
the goods described below:
Value of goods: $
(The fair market value of goods for tax
purposes is determined by the donor.)
Signature of office manager, county
program director or council member
No goods or services were received
in return for this contribution. As
indicated by the opinion letter to the
right, contributions are deductible
as allowed by law.
University of Missouri, Lincoln University, U.S. Department of Agriculture and Local Extension Councils Cooperating
EQUAL OPPORTUNITY/ADA INSTITUTIONS