Donor and Artifact Information

Donor's Name

Donor's Phone Number

Is this a cell number? Is this a cell number? Yes No

Donor's Email

Brief Description of item(s)

What is the Chain of Custody of item(s)?

What are the type(s) of item(s) format(s)? (ex. Photographs, Digital Photographs, scrapbooks, audio recording, 3-D artifacts, print documents, etc

Creator or Compiler's Name

Creation date/s (first and last years, not every date, approximate if necessary)

What is the significance of items to Kaysville area history?