Anyreferencetocompanynamesandcompanylogosinthesampleformsincludedinthissoftwareisfordemonstrationpurposesonlyandisnotintendedtorefertoanyactualorganization.2003-12346123AnyAve,AnyTown,AnyCountryREGISTRATIONNO.-NoD'ENREGISTREMENT161375148004839AnyDonorName456AnyBlvd.AnyCity,AnyState,AnyZIPDonor'sName/NomdudonateurAddress/AdresseCityIssuedat/ÉmisàFebruary10,2003Date2003DateorYearofDonationDateouannéedudon$567.34Amount/MontantTHANKYOUFORYOURHELPINOURCAMPAIGNTOPROMOTEOURCAUSEMERCIPOURVOTREAIDEAPROMOUVOIRNOTRECAUSETREASURERTRÉSORIERFoundation'sCopy/Copiedelafondation2003-12346123AnyAve,AnyTown,AnyCountryREGISTRATIONNO.-NoD'ENREGISTREMENT161375148004839AnyDonorName456AnyBlvd.AnyCity,AnyState,AnyZIPDonor'sName/NomdudonateurAddress/AdresseCityIssuedat/ÉmisàFebruary10,2003Date2003DateorYearofDonationDateouannéedudon$567.34Amount/MontantTHANKYOUFORYOURHELPINOURCAMPAIGNTOPROMOTEOURCAUSEMERCIPOURVOTREAIDEAPROMOUVOIRNOTRECAUSETREASURERTRÉSORIERChapter'sCopy/Copiedel'Émetteur2003-12346123AnyAve,AnyTown,AnyCountryREGISTRATIONNO.-NoD'ENREGISTREMENT161375148004839AnyDonorName456AnyBlvd.AnyCity,AnyState,AnyZIPDonor'sName/NomdudonateurAddress/AdresseCityIssuedat/ÉmisàFebruary10,2003Date2003DateorYearofDonationDateouannéedudon$567.34Amount/MontantTHANKYOUFORYOURHELPINOURCAMPAIGNTOPROMOTEOURCAUSEMERCIPOURVOTREAIDEAPROMOUVOIRNOTRECAUSETREASURERTRÉSORIEROfficialreceiptforincometaxpurposes/Reçuofficielpourfinsd'impôt