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Lugo Charities Inc.

1st Annual – Bike In A Box

Please send this stub with your check made payable to: Bike In A Box

Mail to: Bike In A Box


P.O. Box 26363
Tucson, AZ 85726

Amount $ ________________

Name ____________________________________________

Address __________________________________________

City _______________ State ________ Zip ________

Phone ___________________

Cut

Lugo Charities Inc.


Bike In A Box
P.O. Box 26363
Tucson, AZ 85726
Non-Profit 501 (C) (3) organization

Emerald - $1,350.00 buys 30 Bicycles ____

Diamond - $675.00 buys 15 Bicycles ____ Sapphire - $450.00 buys 10 Bicycles ____

Ruby - $225.00 Buys 5 Bicycles ____ Topaz - $45.00 Buys 1 Bicycle ____

Opal – Food & Other ____

We have received a charitable contribution from __________________________________ in


the amount of $ _____________ Date _____________ to support the 1st Annual, Bike In A Box,
sponsored by Lugo Charities Inc. to benefit under privileged children on Saturday, December 12,
2009.

Retain this portion for your tax record.


Thank you for your support!

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