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REQUEST FOR PUBLIC FUNDING <br />Non profit agencies roquesting funding from the City of Paris for projects that benefit the citizens of Paris must complcte <br />the foilowing information to be eligible for consideration (you may use additional pages, if necessary). In addition, please <br />submit with this farm a copy of your agency's most recent financial statement or audit and a detailed budget for the <br />project. Agencies must also make a brief presentation on their project at a city council meeting. <br />Agency Name: La mar /Ll~[seq DAte:J ttKe- QJ_ Z°0 <br />Q H~ s./x 7J`Slb <br />Agency MAiling Address: °l fa,-~5 7an,? bi17 G' f- / 3 2a10 <br />Agency Phone Number: M5 - taCL7 Agency Fax Number: <br />CoataM Persox:,.,& ler► ct h-i i/4 Contxct's Title: Vl ee- Pre-s t c{e q <br />ContaM'a Mailieg Address: -5~'l 7 3 C 2:~ I I o O 5~ r►-~ ne- %x ?Xc/ d° ~ <br />Contact's Phone Number: 90 3-~d~~r ~ 3 6.F Coptact'a Fax Number: ~ <br />Coatact's Email <br />Name oF <br />LocatIoa/Servtce Area ot <br />i S V <br />Summsry of Project: ---.6,e, 12,0-og l2. Q N t(i "i I'1- A r- A/t 1 ciMe-it <br />C~ ~etyh, .Sc en~4el L4- 7'!Pi//.'~J 'T~ILi h«rol"54 VP U=v ( ~~CL11~1~r <br />Cdicr ,-a- i o nal 4 Gt-rs gh0 JidPd -/..v C.al Schoo l RJ4 s5 e5; <br />~ a A V~ I'Ar u '3,2CI k,r Vd'L~.~ -To 2`r"~ GlO~'l~Nn~t~t~rr~. 4- T^Ot,t.r 91~7i.~, <br />FZ0 nd~c;1 ~qt1~ lR,bow iS i/'Ultth~c.C-'..iYt~~inc~~Dns~rb~~;Oh <br />ribe how your rnject will benefit the Clty of Parls and tts <br />t ~ <br />r ~t f <br />i^ ~U~ D W1 ~lOn V 1 s, l-re f'' ~ ~ _-L•Z' ~ <br />&,14 <br />lF <br />City Of PiI'if ~cVwcu wawvo <br />Is a detxiled project budget, iaciudiag columas and descriptioas tor a1locAtlons of city fuading xnd the Ageucy's <br />WAtCIIIDg f11UdS, Attached? ❑ Yes ❑ No <br />Is the ageacy's most receat financial statement or Audit attached? ❑ Yes ❑ No <br />Have you received fuading from the Ctty of Paris ia tke last tive years for thls or aay other project? 0 Yes ❑ No <br />If you bave received previous clty fuxding, list t6e name of the project, the amodnt ot't6e Clty's award, and the <br />year awsrded: trC:&ej v'd 00- i t't 204.-20001 ~or m Ole r4 ~/nl~ ce- <br />a 000117 <br />f:tle- 1-Gc.mhdec( J D48.!r9/~~jUh4erhour$Jti ZonY, <br />-s" <br />Gist otber sources of fnnding for this project and the:mounts: ` c fundgh <br />