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HUGO <br />UP Good Neighbors <br />ON FOOD SHELF <br />PO Box 373 • HUGO, MN 55038 • 651-528-6224 <br />WWW.HUGOFOODSHELF.ORG <br />Contributor Name/Company: <br />Mailing Address:— <br />City:_ State: Zip: <br />Phone Number: Email Address: <br />Silent Auction Donation(s) valued at $ <br />Item Description(s)_ <br />Dinner Tickets: $15.00 ea. x <br />Tickets will be mailed upon payment for them. Thank you <br />Monetary Donation $ <br />Total Amount Enclosed S <br />Hugo Good Neighbors Food Shelf 501(c)3 Fed Tax ID# 24-4627293 <br />Authorized by (print (Sign] Date <br />*PLEASE COMPLETE THIS FORM AND SEND FLAT ITEMS TO: <br />HUGO GOOD NEIGHBORS FOOD SHELF, PO BOX 373, HUGO, MN 55038; <br />OR DELIVER ITEMS TO 15106 FRANCESCA AVE. N., HUGO, MN 55038 BY MARCH 21, 2017. <br />*IF A PICK UP FOR AN ITEM IS NEEDED, PLEASE CONTACT CINDY PETTY 651-653-5202 <br />*EVENT DATE IS APRIL 8, 2017 (SILENT AUCTION 7:00-8_30PM) <br />THANK YOU FOR YOUR SUPPORT! <br />*PLEASE KEEP A COPY OF THIS RECEIPT FOR YOUR RECORDS* <br />HGNFS use only Date: Received bv: <br />