-2 40 r inn (;:l I • at r)fn (1 *Daytime Phone Number:,) *Address (complete mailing address): Name of Second Donor (Spouse / Significant Other): Organization / Foundation Affiliation: C":"±LHAJ•la c.-.1)(AQA-ntt Gift Information *Name of Jewish Day School Your Gift Will Support: \ )CcS H VA Ti Reg 1140614-0 'Total Gift A

umber: *Address (complete mailing address): S L6 Y. 14 e)-77),N1 AVc= 44-7Thr NI `I I AI \I Name of Second Donor (Spouse / Significant Other): Organization / Foundation Affiliation: PAHA 14 a C.-.1)(AQ 1C 11T Gift Information *Name of Jewish Day School Your Gift Will Support: \1GS H ) VA Ti RegeThi itAeSH-e- 'Total Gift Amou