Laserfiche WebLink
Attachment 4c <br />REPORT OF DONATED MATERIAL <br />I hereby swear than I donated the material reponed above. This material <br />has not been reported for any other Federal or Sale project. <br />Date <br />1 supervised or coordinated this person's donation and verify that it was <br />perforated as indicated above. <br />Date <br />Washington State Department or Archeology and Historic Preservation <br />1063 S. Capitol Way, Suite 106 <br />PO Box 48343 <br />Olympia, WA 98504.8343 <br />zont Rg"int <br />Total Value: <br />Unit Rate: Per Unit <br />Amount charged to <br />project: <br />a <br />State of Washington • Department of Archaeology & Historic Preservation <br />P.O. Box 48343 • Olympia, Washington 98504-8343 • (360) 586-3065 <br />www.dahp.wo.gov <br />