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LEE COUNTY <br /> Committed Today for a Better Tomorrow <br /> DONATION OF PROPERTY FORM <br /> *Only for personal property valued less than$1,000. All real property and personal property valued over$1,000 <br /> requires approval by the Board of Commissioners <br /> Date: 1 I/ /. / ZD i ti <br /> I,John Crumpton,under my authority as County Manager and on behalf of Lee County <br /> Government,hereby accept donated property as described below for the purpose <br /> No goods or services were received in return for said donation. <br /> Description of property: Go 3. 11 <br /> r�.� �. <br /> Donor Information: <br /> Name: Tfie" S i4- <br /> Address: I lib pee/10 Com"1- <br /> See4 &itch , l xl °jo}�fb <br /> **Donor should consult with a tax professional about the tax implications of this donation under state <br /> and federal law.This form does not guarantee the Donor's ability to donate the property for the purpose <br /> of using the donation as a tax deductible item. <br /> Scanned with CamScanner <br />