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DEPARTMENT OF THE NAVY -- NAVAL HISTORICAL CENTER
805 KIDDER BREESE SE -- WASHINGTON NAVY YARD
WASHINGTON DC 20374-5060

Personal Memoir Donation Form

Subject to the terms, conditions and restrictions set forth in this agreement,

I/We ________________________________________________________ located at

Address______________________________________________________

City____________________________________ State_______ Zip Code__________

Telephone__________________________________,

do hereby give, donate, and convey to the Naval Historical Foundation a nonexclusive, paid-up license throughout the world in the information provided in the enclosed self-memoir (hereafter referred to as "the donated materials") written in

(year)___________ by_________________________________________

at__________________________________________________________.

It is understood that Naval Historical Foundation will then donate "the donated materials" to the Naval Historical Center. This donation includes all copyright interests in the materials, which I may now possess or which I may in the future obtain and includes the right to reproduce the work in copies, to distribute copies to the public, to perform or display the work publicly, and to prepare derivative works thereof. Specifically, the Naval Historical Center may publish copies of the memoir for limited distribution to Navy libraries and relevant Navy commands. With my permission, the Naval Historical Foundation may retain a copy of the memoir for purchase by the public at a cost to cover reproduction and shipping.

____ I hereby donate "the donated materials" to the Naval Historical Foundation with the understanding that it will be donated to the Naval Historical Center and that historians of the Naval Historical Center will have free access to the memoir for use as source material for histories being written and published under the auspices of the Dept. of the Navy. I understand that copies of the memoir may be reproduced and distributed to Navy libraries and relevant Navy commands and thus may be accessible to independent researchers.

____ I hereby allow the Naval Historical Foundation to retain a copy of the memoir for purchase by the public at a cost to cover reproduction and shipping.

____ I hereby allow the Naval Historical Center the option to post the memoir on the Center's Internet web site for widespread dissemination to researchers.

____ Other___________________________________________________________

____________________________________________________________
Donor's signature

________________________
Date


From: Executive Director, Naval Historical Foundation
To: Director, Naval Historical Center
Subj: Donation of Oral History "Donated Material"

The Naval Historical Foundation donates the attached "donated materials" under the terms prescribed above. It is understood that the Naval Historical Center staff may dispose of the donated materials, as they see fit, at any time.

_________________________________________
C. T. Creekman, Jr.

I accept the license and materials donated above on behalf of the Department of the Navy, subject to the terms, conditions, and restrictions set forth above.


28 May 2002