ࡱ> [pZy )B/bjbjEE .^'' !!!!!555y5\55J5H,DB!9!^H!! !!Z50Jp"~p"p"!,vjTDO:Jp" : NORTHERN ARIZONA UNIVERSITY FOUNDATION, INC. PO Box 4094 % Flagstaff, AZ 86011 (928)523-3984  GIFT-IN-KIND REPORT  Donor or Business Name:  FORMTEXT      Business Contact (if applicable): FORMTEXT       Address: FORMTEXT       City: FORMTEXT       State: FORMTEXT    Zip: FORMTEXT      Phone: FORMTEXT       Affiliation: FORMCHECKBOX  Alumnus  FORMCHECKBOX  Parent  FORMCHECKBOX  Business FORMCHECKBOX  Faculty / Staff  FORMCHECKBOX  Current Student  FORMCHECKBOX  Other Organization: FORMCHECKBOX  Friend  FORMCHECKBOX  Foundation Gift Description (dimensions, condition, etc.):  FORMTEXT       FORMTEXT            FORMTEXT       Value:$ FORMTEXT      Valued BZr " 6 8 : D F H J j l 鷬nbXNXEh!Mh]^Jh]CJ^JaJh!Mh]5^Jhi+h]5^JaJ%jh]5U^JaJmHnHu&jhi+h]5U^JaJh]5^JaJjh]5U^JaJh]5\^JaJh]CJ^JaJjh]CJUmHnHuh]&jh]CJU^JaJmHnHuh]^JaJ h]^Jh]5\^JZ H J tRkdt$$IflZ0 +% 62 4 la $ $7$8$H$If $ 7$8$H$ $ $7$8$H$a$ $7$8$@&H$a$$@&a$      ( * , < ޙyoޙ[OCherNh]5^JaJh-zh]5^JaJ&jh-zh]5U^JaJh]CJ^JaJhi+h]5^JaJ&jhi+h]5U^JaJh]5^JaJh]5\^JaJhueh]CJaJh]^JaJh!Mh]^JaJ%jh]5U^JaJmHnHujh]5U^JaJ&jhi+h]5U^JaJ  H> $ 7$8$H$Rkdb$$IflZ0+% 62 4 la $ $7$8$H$IfRkdp$$IflZ0 +% 62 4 la , < ^ j  $ $7$8$H$If< > R T V Z \ ^ j l  vncXLnjh]U^JaJh]5\^JaJhh]CJaJh]^JaJ&j<hi+h]5U^JaJhah]5^JaJ&jhi+h]5U^JaJherNh]5^JaJhi+h]5^JaJ%jh]5U^JaJmHnHu&jTh-zh]5U^JaJh]5^JaJjh]5U^JaJ  <:++ $ $7$8$H$Ifkd$$IfKִC`  R%)iE 6    2 4 a     8 : < L N j l n ( * , T V ٵ٪m[Phh]^JaJ#j1hh]U^JaJ#jhh]U^JaJ&jIhh]5U^JaJh]5^JaJjh]5U^JaJh!Mh]^JaJ#jhh]U^JaJ#jahh]U^JaJh]^JaJjh]U^JaJ#jh}]h]U^JaJ L V & ywvkd $$IfZ\L@ d%I L62 4 a $ $7$8$H$If V X t v x " & ( * , @ B D N P R T V j l n x z ø뤕k땸Vkk)j hi+h]5U\^JaJ(jh]5U\^JaJmHnHu)j hi+h]5U\^JaJjh]5U\^JaJh7<h]CJaJh]\^JaJh]5\^JaJh]#j hh]U^JaJ#jhh]U^JaJh]^JaJjh]U^JaJ!& ( * R T Kdkd% $$IfjR%O%062 4 a $ $7$8$H$If=kdF $$If;62 4 a &$dkde $$IfjR%O%062 4 a $ $7$8$H$IfdkdE $$IfjR%O%062 4 a **峨xdQFDUh!Mh]^JaJ%jh]5U^JaJmHnHu&jh-zh]5U^JaJh]5^JaJjh]5U^JaJhr=<h]^JaJhr=<h]5\^JaJh7<h]CJaJh]^JaJ(jh]5U\^JaJmHnHu)j hi+h]5U\^JaJh]5\^JaJjh]5U\^JaJ *N*P*fkdy$$If.FQ%6    2 4 ayt] $ $7$8$H$Ify: FORMCHECKBOX  Donor s Estimate  FORMCHECKBOX  Independent Appraiser (attach appraisal) FORMCHECKBOX  Other basis for valuationArea of university receiving the gift: FORMTEXT      NAU Foundation account name:  FORMTEXT      Fund #: FORMTEXT       Acceptance and disposition of donations are governed by the policies of N.A.U. without approval of the donor. 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