Manual Exhibit 2004-22.3-C

INDIAN HEALTH SERVICE
     SAMPLE LETTER ACCEPTANCE OF GIFT

Marshall Dillon, Ph.D.
President
Acme Laboratories
1234 56th Avenue Metropolis, VA 23456

Dear Dr. Dillon:

On behalf of the Indian Health Service, I am pleased to accept Acme Laboratories' generous donation of $100,000 to the (Area/Service Unit) Gift Fund Account.

Your gift will support our mission to raise the physical, mental, social, and spiritual health of American Indian and Alaska Native (AI/AN) people to the highest level. Specifically, this gift will be used for:

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Thank you and your organization for supporting our goal to ensure that comprehensive, culturally acceptable, personal and public health services are available to the AI/AN population.

Sincerely yours,

    Authorizing Official