Laserfiche WebLink
JUN-19-2006 10:36A FROM: <br />T0:9037858519 P.2/2 <br />REQUEST F4R PUBLIC FUN.DING <br />Non-profit agencies requescing funding from the City of Paris for projects that benefit the citizens of Paris must compiete <br />the fotlowing infarmation to be eligible for consideratian (you may use additional pages, if necessary). in additian, please <br />subntit with this form a copy of your agency's mast recent financiaf statement or audit and a detailed budget fnr the <br />project. Agencies must alsa make a brief presentation on their project at a city council meeting. <br />Agency Name: C~~ td rP.lo (5 Ad l~4jt1 u1Czn-k, Date: tv"1-3"'pq <br />Agency Maiti»g Add ress: , 0. ' J ~((Z_ p~,.("; Tg -7 5 y' (o I <br />Agency Phone Number: ~ Qd3~ 7g~'~' <br />~ Agency Fax Number: `7Jr)4 <br />Contact Person: r Contact's Title: ~4{,0„S' AuQ,, D"mcd"71 <br />Contact's Mailing <br />Contact's Phone Number: <br />Cor►tact's Email <br />Contact's Fax Number: SQrY'LL <br />-A5µ.Ann . 1/n1:k4t"a" -_7115,OOO LArn~.-~M.~k. - af- 2 dcD <br />CfiG T,C -$In.diDn ~ <br />Is a detailed prnject budget, including columns and descriptions far aIlocations of city funding and the agency's <br />matching funds, attached? ❑ Yes E~No <br />Is the agency's most recent financial statement or sudit attached? [0 Yes ❑ No (V_e,.~,,,,&,nq <br />~i.~n'+r •F1e <br />Have you received funding from the City of Paris in the last five years for this or any other project? (Yes No <br />If you have received previoas city funding, Iist the name of Ehe project, the amount of the City's award, and the <br />year awarded:_ .207 -t 1l 50(3 <br />City af Paris Revised 6/10/08 <br />53 L) <br />y ✓ <br />Name of Projeet:n, 4:~1~ Idron `5 Aduocnc~u ro~p{~',"C <br />, <br />