Walk Pledge Receipts-2013

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					  WALK FOR
                                                                                                          Sunday, August 11, 2013
                                                                                                  Robert C. Beutter Riverfront Park




  HOSPICE
                                                                                                               Mishawaka, Indiana
                                                                                              11:30 a.m. Check-in and Registration
                                                                                                 12:30 p.m. Memorial Celebration
                                                                                                             1:00 - 3:30 p.m. Walk
                         ON THE RIVERWALK

                                                                                                                PLEDGE RECEIPTS
ATTENTION WALKERS: Each pledgee must receive a receipt for his/her donation. Please detach and complete one of
the following receipts for each pledge. Only the pledgee needs to keep this receipt. If you need more receipts, you may
photocopy this sheet or contact Lisa Kelly at 574-243-3119 or kellyl@centerforhospice.org.


 Date                          $                        p Cash p Check        Date                          $                        p Cash p Check
 Donor Name                                                                   Donor Name
 Address                                                                      Address
 Walker Sponsored                                                             Walker Sponsored
 The Hospice Foundation wishes to express its sincere gratitude for your      The Hospice Foundation wishes to express its sincere gratitude for your
 support of this event which benefits Center for Hospice Care. *No goods or   support of this event which benefits Center for Hospice Care. *No goods or
 services were received in exchange for this gift.                            services were received in exchange for this gift.

                         August 11, 2013                                                              August 11, 2013
 WALK FOR                                                                     WALK FOR
 HOSPICE
      ON THE RIVERWALK
                                           Chief Operating Officer
                                           Foundation                         HOSPICE
                                                                                   ON THE RIVERWALK
                                                                                                                        Chief Operating Officer
                                                                                                                        Foundation




 Date                          $                        p Cash p Check        Date                          $                        p Cash p Check
 Donor Name                                                                   Donor Name
 Address                                                                      Address
 Walker Sponsored                                                             Walker Sponsored
 The Hospice Foundation wishes to express its sincere gratitude for your      The Hospice Foundation wishes to express its sincere gratitude for your
 support of this event which benefits Center for Hospice Care. *No goods or   support of this event which benefits Center for Hospice Care. *No goods or
 services were received in exchange for this gift.                            services were received in exchange for this gift.

                         August 11, 2013                                                              August 11, 2013
 WALK FOR                                                                     WALK FOR
 HOSPICE
      ON THE RIVERWALK
                                           Chief Operating Officer
                                           Foundation                         HOSPICE
                                                                                   ON THE RIVERWALK
                                                                                                                        Chief Operating Officer
                                                                                                                        Foundation




 Date                          $                        p Cash p Check        Date                          $                        p Cash p Check
 Donor Name                                                                   Donor Name
 Address                                                                      Address
 Walker Sponsored                                                             Walker Sponsored
 The Hospice Foundation wishes to express its sincere gratitude for your      The Hospice Foundation wishes to express its sincere gratitude for your
 support of this event which benefits Center for Hospice Care. *No goods or   support of this event which benefits Center for Hospice Care. *No goods or
 services were received in exchange for this gift.                            services were received in exchange for this gift.

                         August 11, 2013                                                              August 11, 2013
 WALK FOR                                                                     WALK FOR
 HOSPICE
      ON THE RIVERWALK
                                           Chief Operating Officer
                                           Foundation                         HOSPICE
                                                                                   ON THE RIVERWALK
                                                                                                                        Chief Operating Officer
                                                                                                                        Foundation

				
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