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File# _________ _
Restriction: Yes / No
P.O. Box 875
Newhall, California 91322
The Board of Directors of the Santa Clarita Valley Historical Society gratefully acknowledges receipt of the
following items donated by:
Item ~ Description Additional Info
Received this day of
(Office)
for the Board of Directors, Santa Clarita Valley Historical Society.
I hereby give and bequeath the above stated items to the Santa Clarita Valley Historical Society with full power to
use, reproduce or dispose of as determined by the Society's Board of Directors. Restrictions, if any, on the Society's
usage of the above items sha 11 be set forth on the reverse hereof, dated and signed by Donor.
Donor: ___________________ _