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RECEIVED <br />REQiJEST FOR PUBLTC FUNDING <br />Non-prof t agencies roqnesting funding from the City of Paris. for projects that benefit the citf~ mplate <br />tbe following infoxnnation to be eiigfble for consideration (you raay use additionai pages, if neces A ; please <br />submit witl~ this farm a cvpy of yaur agency's most recent financial statemenc or audit and a detsiled u get for tha <br />project. Agencies mnst al,so make a brief pmsentaxion on their project at a city councii meeting. <br />Agency Name: .5 iv I:k;P c~en4f.( ~P+~ tM i 10'K in ectS t `tr-[Yds Date: 7-7- 1 D <br />_ <br />Agency Maiting Address:.6 ja • Xount p t l~e nt T„X MS6 A537 <br />Agency Phone Nwnber: U-5~-09?3 ~ 7E3--13 i 3 Agency Fax Nunber: ~03 5~0~ - Lxl'ts 2 <br />Contactperson:fla(yj! CfiS~+t~~C~~~re Contact'siitte: ejouinix tjlreefarL. <br />Contact's Maiiing <br />yv ~ <br />Contatt'i; Phone Number: Contact's Fax Number:,.,q03 S? P-- OCi&Z <br />ContacL's Emafl Addxesa: irec1~(f~ tf4p nru - Com ' <br />Nsme of Project: d u,#tiacl•t 4~f'~t~ .S r.-n 2 T/ ,n r,vnd+i t tL1711[ncc *3ekAn c~f scrvtar <br />Location/Service Area of Piroject: ~ i S- (o l S Y1 ~ n~ S u1. Pd.r ts <br />Total ProJect BudgeL $ IkQ Total Amount Requested from City: $ 1 01 660 <br />Number uf Bene1lcfaries:1ARA" Summary of pxoject: c54 F~.~u['ldlls l~e4rC4tC <br />` •t ~ r vt s <br />G/y1uo.C~ dt- <br />/.La A-1 6PdknCkql7u. f i~ 020124 <br />~+'SIS /n~~ ~ ~Q! d.~l!1t <br />Descrtbe how your pmJeM will benefit the City of Parls and its ciitizens: utf~~~~_~?~U*~ <br />AlsBltera..4Ad I'61L khwk(e~b~~ ~,Mcs~ e~,► u <br />-tx&47 JNWvt nx&&f 16SkLeLE Uli~hn~l &w,t la <br />lt J s lL;i~~tc-_~~un JrtLre• f - U~a►.~ rlY14iagr`5m ,n <br />I,ist other sources oi i'ttnding for this pxo3ect and the amounte:_. I 11 f//T -,/~n~ <br />ZZ,'/ I 1 l~ ,4C. 113 fU9 v/m `Ac, k 6;1TaG ltA14 a o~` 9M5 r <br />~ <br />,5A,E S- <br />Is a detaiied project budget, inclnding colurnns and deseriptions for allaeations of eity fnnding and the agency's <br />matching fiulldei ettaChed? N]'Yes ❑ No <br />Ya Lhe agency's most recent financsial stateni,ent or audit attached? Mes ❑ No <br />Have you recetved funding from the City oi Parie in the last five years for this or any other project? U-?es ❑ No <br />If yaa have received prevtous funding trom the Clty, list the name of the project, the amount of the City's award, <br />and the year awarded: ~a o ~,_1~,006 <br />Gtity of Paris Revisec17/07/09 <br />£ 'd b98t'ON - 1 01 '01 11300VMi'M NOINII0 Wd90:1 OIOZ `L 'Inf <br />