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Document - Accession Worksheet - Eagan Historial Socity donation/gift form (blank). -I, Eagan Historical Society Donation/Gift Form , have decided to donate to the Eagan Historical Society (hereafter "the Society"). By signing this form I am acknowledging that I have rightful ownership of this object and I am choosing to relinquish my ownership to that of the Society. I am also acknowledging the Society's right to display or not display this item as they see fit. Donator Signature: Date: Society Representative Signature""" �.' a' C_ Date: Accession #: / JC 17 Yvtc 404- `41cult- 40--irmet4 .4-cp ‹Cetn.„., Anez 5e0 02eA),- 4644ev.0 viAp A5u cc, C „r ce9.A^-t- 602P-eiL cit3NA, kAje4eszvu c42J.-Q-,05 c.tiaz-eS4- 4-zs vDc 5-4is22 r /a _J Okik.3 SCr3-4. ( i »r-1m 7 aurl Cji tpbresra. Carmel, IN 46082-3172 • www.crownpointstationery.com FNC 12051 • Illustration by Avril Haynes • ©2008 Otter House Licensing Ltd. 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